Christie Jean Smith, RN

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0092291 Issued in OK

Practice address

29 Raintree St
Ponca City, OK 74604-5414

Phone

(580) 716-8975

Fax

(580) 762-0631

NPI assigned

Aug 15, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1821542200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 RAINTREE ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746045414",
            "telephone_number": "580-716-8975",
            "fax_number": "580-762-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 RAINTREE ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746045414",
            "telephone_number": "580-716-8975",
            "fax_number": "580-762-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTIE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "R0092291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Marcus Sinton, M.D.
• Tina L Skaggs
• Kelly Jean Smith-Troutman, LPC
• Amy Dawn Smith
• Charles G. Smith Jr., BC-HIS
• Dan Michael Smith, PH.D.
• Jason Ray Smith
• Kara Smith, LPC
• Malcolm Derek Smith, DPM
• Pamela Michelle Smith, APRN, FNP-C

• Clinical Social Worker in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.