Tavaura Smith, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

344624 Issued in NY

Practice address

703 Kossuth St
Bridgeport, CT 06608-1906

Phone

(203) 969-4418

NPI assigned

May 15, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1861183519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 KOSSUTH ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066081906",
            "telephone_number": "203-969-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 KOSSUTH ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066081906",
            "telephone_number": "203-969-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TAVAURA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CT",
            "license": "044132",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "344624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Smith, M.D.
• Michelle Lisa Smith, APRN
• Patricia Joan Smith, APRN CLINICAL SPECIA
• Renee Smith
• Robert S. Smith, DPM
• Valerie A Smith, LCSW
• Victoria Smith, LCSW
• Victoria K Smith, PA-C
• Sne ASC II LLC
• Sheila M. Sneed, LADC

• Licensed Practical Nurse in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Licensed Practical Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.