NICOLE SMITH (NPI# 1689023368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689023368 |
| Entity Type | Individual |
| Full Name | NICOLE SMITH |
| Credential | LPN |
| Practice Address |
6601 Ne 78th Ct Ste A3 Portland OR 97218-2823 |
| Mailing Address |
305 Pacific Ave S Ste C Kelso WA 98626-1638 |
| Practice Telephone | 5032523949 |
| Practice Fax Number | 5032524027 |
| Mailing Telephone | 3604255378 |
| Mailing Fax Number | 3604255990 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 201130652LPN | OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712288 | Nicole Christina Smith | Advanced Practice Midwife | 8821 Foxgate Ct, Huber Heights, OH 45424-1103 | 2020-08-26 |
| 1396357356 | Nicole Lynn Smith | Behavior Technician | 1221 Maiden Choice Ln, Baltimore, MD 21229-5414 | 2020-08-20 |
| 1790393064 | Nicole L Smith | Nurse Practitioner | 505 Bingham Dr, Mcdonough, GA 30253-8050 | 2020-07-22 |
| 1144847807 | Nicole Francine Smith | Speech-Language Pathologist | 1643 Victoria Pointe Cir, Weston, FL 33327-1311 | 2020-06-29 |
| 1558981803 | Nicole Nadine Smith | Nurse Practitioner | 508 Wicklow Ct, Forest Hill, MD 21050-1644 | 2020-04-16 |
| 1568016921 | Nicole Renee Smith | Dentist | 8005 W 110th St Ste 220, Overland Park, KS 66210-2619 | 2019-07-24 |
| 1700448677 | Nicole E Smith | Registered Nurse | 4000 Bienville St Ste G, New Orleans, LA 70119-5163 | 2019-07-01 |
| 1720550809 | Nicole Sharron Smith | Nurse Practitioner | 3724 N 3rd St # 201, Phoenix, AZ 85012-2034 | 2018-12-29 |
| 1083184337 | Nicole Marie Smith | Psychologist | 124 Saddle Loop Unit B, Bigfork, MT 59911-3663 | 2018-11-29 |
| 1952880635 | Nicole Sharay Smith | In Home Supportive Care | 2150 Lincoln Ave, Cincinnati, OH 45224-1828 | 2018-08-13 |
| Street Address |
6601 NE 78TH CT STE A3 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97218-2823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174927115 | Amber Walker | Counselor | 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 | 2014-10-20 |
| 1043820707 | Maurice Golden | Counselor | 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 | 2020-08-06 |
| 1093323396 | Jeremy Eckard | Counselor | 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 | 2020-07-22 |
| 1669093944 | Elizabeth Hendrickson | Licensed Practical Nurse | 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 | 2020-04-28 |
| 1144841420 | Andrea Nicolet | Licensed Practical Nurse | 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 | 2020-04-28 |
| 1801421789 | Kala Mcmillan | Counselor | 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 | 2020-03-11 |
| 1902438187 | Keelani Duffey | Licensed Practical Nurse | 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 | 2020-02-06 |
| 1528690716 | Patricia Humphrey | Licensed Practical Nurse | 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 | 2020-02-06 |
| 1508400169 | Nina Tran | Registered Nurse | 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 | 2019-11-06 |
| 1215570668 | Alice Cortez | Licensed Practical Nurse | 6601 Ne 78th Ct Ste A3, Portland, OR 97218-2823 | 2019-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852726 | Alex Margarito | Specialist/Technologist | 6801 Necornfoot Rd, Fpo, AA 97218 | 2019-10-14 |
| 1083101943 | Joyce M Larkins | Specialist | 5852 Ne 42nd Ave., Portland, OR 97218 | 2018-04-17 |
| 1740709658 | Alyssa M Cavalier | Licensed Practical Nurse | 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 | 2017-09-12 |
| 1093266405 | Jean Hansen | Counselor | 6601ne 78th Court Suite, Suite A3, Portland, OR 97218 | 2016-10-20 |
| 1174913636 | Kirsten Kelly-chambers | Counselor | 4310 Ne Killinsworth Street, Portland, OR 97218 | 2015-02-04 |
| 1386962074 | Kathleen Kuhlmey Sheridan | Nurse Practitioner | 5215 Ne 52nd Ave, Portland, OR 97218 | 2010-05-06 |
| 1003049909 | Kevin Richardson | Adult Companion | 5029 Ne Killingsworth St, Portland, OR 97218 | 2009-08-26 |
| 1366676462 | Bobbi Gabriele Kennedy | Military Health Care Provider | 6801 Ne Cornfoot Road, Portland, OR 97218 | 2009-05-05 |
| 1396980751 | Jamie Mercile Taylor | Counselor | 4310 N.e Kilingsworth, Portland, OR 97218 | 2008-12-12 |
| 1902041460 | Brandi Danielle Hess | Counselor | 4450 Ne 76th, Portland, OR 97218 | 2008-12-11 |
| Find all providers in zip 97218 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801448899 | David Terpea | Licensed Practical Nurse | 6920 Se Division St, Portland, OR 97206-1271 | 2019-07-10 |
| 1629565981 | Kufa Dekamo | Licensed Practical Nurse | 3708 Se 144th Ave, Portland, OR 97236-2731 | 2018-04-21 |
| 1740709658 | Alyssa M Cavalier | Licensed Practical Nurse | 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 | 2017-09-12 |
| 1902344914 | Lacy Neal | Licensed Practical Nurse | 5737 Se Harold St, Portland, OR 97206-5526 | 2017-02-09 |
| 1720433691 | Megan Gauger | Licensed Practical Nurse | 3332 Se 7th Ave, Portland, OR 97202-2702 | 2016-04-28 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| 1285057083 | Kyle Epler | Licensed Practical Nurse | 4528 N 550 E, Portland, IN 47371-7956 | 2014-01-29 |
| 1902236813 | Laurie Cash | Licensed Practical Nurse | 8440 Fay St, Portland, NY 14769-9603 | 2013-11-14 |
| 1730436924 | Jonathan Edward Mondragon | Licensed Practical Nurse | 16141 E. Burnside St., Portland, OR 97233-3519 | 2012-08-07 |
| 1114299625 | Mai Nguyen | Licensed Practical Nurse | 3710 Southwest Veteran Hosp Road, Portland, OR 97239-2964 | 2012-01-30 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.