Diane Jean Smith, ADULT NURSE PRACTITI

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NPP22524 Issued in RI

Practice address

280 Melrose St.
Name: Concentra
Providence, RI 02901

Phone

(401) 784-7579

Fax

(401) 784-7305

NPI assigned

Jul 7, 2010

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)

Enrolled

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1841502804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MELROSE ST.",
            "address_2": "NAME: CONCENTRA",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02901",
            "telephone_number": "401-784-7579",
            "fax_number": "401-784-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MELROSE ST.",
            "address_2": "NAME: CONCENTRA",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02901",
            "telephone_number": "401-784-7579",
            "fax_number": "401-784-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DIANE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "ADULT NURSE PRACTITI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-07",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "NPP22524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Anne Smith, COTA
• Brianne Smith, R.N.
• Caldwell Withers Smith, MD
• Courtney Smith, CRNA
• Daniella Marie Smith, RN
• Donna R Smith, CRNA
• Elizabeth Z Smith, FNP
• Heather A Smith, MD, MPH
• Jahanna Nicole Smith
• Jean F Smith, MD

• Nurse Practitioner in Providence, RI
• Providers in Providence, RI by specialty
• Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.