Houghton Paul Smith, RN CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

026-0015868 Issued in VT

Practice address

17 Belmont Ave
Att'N: Marilyn Boudreau
Brattleboro, VT 05301-6613

Phone

(802) 257-8382

Fax

(802) 251-8466

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851407266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BELMONT AVE",
            "address_2": "ATT'N: MARILYN BOUDREAU",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016613",
            "telephone_number": "802-257-8382",
            "fax_number": "802-251-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BELMONT AVE",
            "address_2": "ATT'N: MARILYN BOUDREAU",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016613",
            "telephone_number": "802-257-8382",
            "fax_number": "802-251-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HOUGHTON",
        "middle_name": "PAUL",
        "credential": "RN CDE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "VT",
            "license": "026-0015868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "58180",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelle Rae Shutter, M.D.
• Rebecca Sue Shwartz, ND, MSA
• Janet Sinclair, LIC. AC.
• Heather Sluter
• Heather Leigh Smith, LCMHC
• Jennifer Marie Smith, PHD
• Karin Smith, BS
• Nancy A Smith, RNBSN
• Christopher Snow, PA
• Jilisa Snyder

• Diabetes Educator Registered Nurse in Brattleboro, VT
• Providers in Brattleboro, VT by specialty
• Diabetes Educator Registered Nurse in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.