Individual provider Active NPI

Maisha Jeanette Smith, DNP

  • Nurse Practitioner
  • Susanville, CA
National Provider Identifier
1871038489
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95005773 Issued in CA
Practice address
795 Joaquin St
Susanville, CA 96130-3628
Phone
(530) 257-2542
Fax
(530) 257-1101
NPI assigned
Jan 5, 2017
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95005773 CA Primary

Addresses

Primary practice location

795 Joaquin St
Susanville, CA 96130-3628

Mailing address

795 Joaquin St
Susanville, CA 96130-3628
Phone (530) 257-2542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230502002719 CA Order and Referring Only - Nurse Practitioner 9133404650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lassen Indian Health Center Past Accepting new patients
Banner Lassen Medical Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73659
  • Direct secure messaging: maisha.smith@lihc.directbygreenway.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1871038489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 JOAQUIN ST",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961303628",
            "telephone_number": "530-257-2542",
            "fax_number": "530-257-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 JOAQUIN ST",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961303628",
            "telephone_number": "530-257-2542",
            "fax_number": "530-257-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MAISHA",
        "middle_name": "JEANETTE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95005773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Susanville, CA

Sources for this page

Verify at the official NPI Registry.