ANGELA BETH SMITH CNP NPI 1023368453

NPI Information

NPI: 1023368453
Provider Name: ANGELA BETH SMITH, CNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2828 ONEIL LN
EUREKA, CA
ZIP 95503
Phone: (707) 599-6700
Get Directions

Angela Beth Smith, CNP is an adult health nurse practitioner in Eureka, CA with 12 years of experience. Angela Beth Smith, CNP NPI is 1023368453. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2828 ONEIL LN
EUREKA, CA
ZIP 95503-870
Phone: (707) 599-6700
Fax: (707) 886-8016

The NPI 1023368453 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/13/2012 and was last updated on 7/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0000X	Registered Nurse	General Practice	846580	CALIFORNIA	No
2	363LA2200X	Nurse Practitioner	Adult Health	23313	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	103767	MEDICARE PIN	CALIFORNIA
2	RN846580	MEDICAID	CALIFORNIA
3	H138940	MEDICARE PIN	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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