Active NPI
Shawna Smoke
- Licensed Vocational Nurse
- Spring Creek, NV
National Provider Identifier
1821494824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- LPN13705
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPN13705 | NV | MD | Licensed Vocational Nurse |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | LPN13705 | NV | Primary |
Addresses
NPPES NPI RegistryPrimary 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.