MR. DEREK J SMITH NPI 1629755012

NPI Information

  • NPI: 1629755012
  • Provider Name: MR. DEREK J SMITH
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 6333 E SKELLY DR
    TULSA, OK
    ZIP 74135
  • Phone: (539) 593-1299

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NPI Details

MR. Derek J Smith is a licensed practical nurse in Tulsa, OK. The provider is a licensed practical nurse 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. MR. Derek J Smith NPI is 1629755012. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6333 E SKELLY DR
TULSA, OK
ZIP 74135-106
Phone: (539) 593-1299

The enumeration date for this NPI number is 6/28/2023 and was last updated on 10/9/2024.

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
1164W00000XLicensed Practical Nurse064110OKLAHOMANo
2164W00000XLicensed Practical Nurse0064110OKLAHOMAYes

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: 3/30/2025

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