Individual provider Active NPI

Traci Stinson-Smiley

  • Specialist
  • San Jose, CA
National Provider Identifier
1821905852
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
495 Verano CT
San Jose, CA 95111-3848
Phone
(512) 822-3284
NPI assigned
Aug 25, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

495 Verano CT
San Jose, CA 95111-3848

Mailing address

495 Verano CT
San Jose, CA 95111-3848
Phone (512) 822-3284

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1821905852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 VERANO CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951113848",
            "telephone_number": "512-822-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 VERANO CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951113848",
            "telephone_number": "512-822-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINSON-SMILEY",
        "first_name": "TRACI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.