Individual provider Active NPI

Shawna Smoke

  • Licensed Vocational Nurse
  • Spring Creek, NV
National Provider Identifier
1821494824
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
LPN13705 Issued in NV
Practice address
625 Westcott Dr
Spring Creek, NV 89815-6912
Phone
(775) 385-1163
NPI assigned
Nov 18, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN13705NVMDLicensed Vocational Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X LPN13705 NV Primary

Addresses

NPPES NPI Registry

Primary practice location

625 Westcott Dr
Spring Creek, NV 89815-6912

Mailing address

625 Westcott Dr
Spring Creek, NV 89815-6912

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 18, 2014.

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1821494824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 WESTCOTT DR",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "898156912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 WESTCOTT DR",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "898156912",
            "telephone_number": "775-385-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOKE",
        "first_name": "SHAWNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "NV",
            "license": "LPN13705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Creek, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.