Nicole Broka Smith

Primary specialty

CounselorTaxonomy code 101Y00000X

License

7957 Issued in SC

Practice address

1433 Cleveland St
Greenville, SC 29607-2409

Phone

(770) 715-8184

NPI assigned

Nov 28, 2022

Sex

Female

Sole proprietor

Yes

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": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1922718352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PARLIAMENT RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153441",
            "telephone_number": "770-715-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 CLEVELAND ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072409",
            "telephone_number": "770-715-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICOLE",
        "middle_name": "BROKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "7957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Smith, DDS
• Nathalie A. Smith
• Nathan E. Smith, MD
• Nathan Emory Smith, C.R.N.A.
• Natilee Smith, PTA
• Paul E Smith Jr., PT
• Phillip Joshua Smith, M.D.
• Quiana Tirzah Smith, APRN
• Rachel Nocito Smith, CRNA
• Rebecca Smith

• Counselor in Greenville, SC
• Providers in Greenville, SC by specialty
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.