Melissa Suzanne Massey-Smith

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

119316 Issued in OH

Practice address

1120 W Washington St
Baltimore, OH 43105-1158

Phone

(740) 407-9237

NPI assigned

Nov 21, 2019

Last updated

Nov 21, 2019By the provider in NPPES

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

Electronic endpoints 1

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": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1932745221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W WASHINGTON ST",
            "city": "BALTIMORE",
            "state": "OH",
            "postal_code": "431051158",
            "telephone_number": "740-407-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W WASHINGTON ST",
            "city": "BALTIMORE",
            "state": "OH",
            "postal_code": "431051158",
            "telephone_number": "740-407-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY-SMITH",
        "first_name": "MELISSA",
        "middle_name": "SUZANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "119316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nrsmasseysmith@yahoo.com",
            "affiliation": "N",
            "address_1": "1120 W Washington St",
            "city": "Baltimore",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431051158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Licensed Practical Nurse in Baltimore, OH
• Providers in Baltimore, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.