Paige Breann Smith, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95007348 Issued in CA

Practice address

10351 Wilshire Blvd Ste 204
Los Angeles, CA 90024-4736

Phone

(424) 231-8699

Fax

(424) 231-8617

NPI assigned

Apr 14, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1982347241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10351 WILSHIRE BLVD STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244736",
            "telephone_number": "424-231-8699",
            "fax_number": "424-231-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10351 WILSHIRE BLVD STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244736",
            "telephone_number": "424-231-8699",
            "fax_number": "424-231-8617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27555 Ynez Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925914679",
            "country_code": "US",
            "telephone_number": "951-693-4433",
            "fax_number": "951-694-6662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29826 Haun Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925866547",
            "country_code": "US",
            "telephone_number": "951-679-3131",
            "fax_number": "951-679-3133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PAIGE",
        "middle_name": "BREANN",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95007348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.auraaftercare.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10351 Wilshire Blvd Ste 204",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900244736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nia Smith
• Nicholas Smith
• Nicole Smith, MA
• Nicole Renee Smith, M.D.
• PA'Cjon Smith, LCSW
• Pamela Smith, MD
• Pamela Smith
• Pamela Ann Smith
• Pauline Ann Torio Smith, NP
• Pauline Pearl Smith, LCSW

• Acute Care Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.