MR. DOUGLAS KENT SMITH FNPPA NPI 1902016611

NPI Information

NPI: 1902016611
Provider Name: MR. DOUGLAS KENT SMITH, FNP,PA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC

PECOS Registration: Yes

Address:
1354 N NEWCOMB ST
PORTERVILLE, CA
ZIP 93257
Phone: (559) 333-0365
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MR. Douglas Kent Smith, FNP,PA is a family nurse practitioner in Porterville, CA with 35 years of experience. MR. Douglas Kent Smith, FNP,PA NPI is 1902016611. 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:

1354 N NEWCOMB ST
PORTERVILLE, CA
ZIP 93257-588
Phone: (559) 333-0365

The NPI 1902016611 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 5/23/2007 and was last updated on 5/7/2015.

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	363AM0700X	Physician Assistant	Medical	PA12304	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	RN376101	CALIFORNIA	Yes

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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