MRS. MELISSA CATHERINE SMITH NP NPI 1992096093

NPI Information

  • NPI: 1992096093
  • Provider Name: MRS. MELISSA CATHERINE SMITH, NP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 962 SEBASTAPOL ROAD
    SANTA ROSA, CA
    ZIP 95407
  • Phone: (707) 578-2005

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NPI Details

MRS. Melissa Catherine Smith, NP is a pediatrics nurse practitioner in Santa Rosa, CA. MRS. Melissa Catherine Smith, NP NPI is 1992096093. 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:

962 SEBASTAPOL ROAD
SANTA ROSA, CA
ZIP 95407-829
Phone: (707) 578-2005

The NPI 1992096093 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 4/22/2011 and was last updated on 4/22/2011.

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
1363LP0200XNurse PractitionerPediatrics20624CALIFORNIAYes

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: 11/21/2025

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