Nichole Marie Smith

Primary specialty

HomemakerTaxonomy code 376J00000X

License

237442 Issued in FL

Practice address

5347 3Rd Ave S
St Petersburg, FL 33707-1809

Phone

(727) 819-4004

NPI assigned

Apr 12, 2021

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

State licenses

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1851971030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5347 3RD AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071809",
            "telephone_number": "727-819-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5347 3RD AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071809",
            "telephone_number": "727-819-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICHOLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "237442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meleah Jacqueline Smith, LCSW
• Michael J Smith, MD
• Michelle Marie Smith, M.D.
• Morgan Candler Smith, MD
• Nicholas David Woloszyn Smith, PHD
• Nicole Smith, LCSW
• Niki Dee Ann Smith
• Patrick Judson Smith, MD
• Paul Ronald Smith, O.D.
• Paula J Smith, LMT

• Homemaker in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.