Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MS. PRUDENCE ELLEN SMITH RN
NPI 1801878533
Registered Nurse in San Diego, CA

Active since November 17, 2005
4290 POLK AVE, SAN DIEGO, CA 92105(619) 563-0507(619) 563-0015 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Prudence Ellen Smith Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. PRUDENCE ELLEN SMITH RN (NPI 1801878533) is an individual registered nurse in San Diego, California, licensed in California (RN501591) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1801878533
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMS. PRUDENCE ELLEN SMITHCredential: RN
Location Address4290 POLK AVESan Diego, CA 92105-1524
Mailing Address4290 Polk AveSan Diego, CA 92105-1524 · (619) 563-0507 · Fax (619) 563-0015
Fax(619) 563-0015
Sole ProprietorNo
Enumeration DateNovember 17, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1801878533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in CA · RN501591
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

4290 POLK AVE, San Diego, CA 92105

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
4290 POLK AVE
SAN DIEGO, CA 92105
Nurse Practitioner
4290 POLK AVE
SAN DIEGO, CA 92105
Internal Medicine
4290 POLK AVE
SAN DIEGO, CA 92105
Physician Assistant
4290 POLK AVE
SAN DIEGO, CA 92105
Internal Medicine
4290 POLK AVE
SAN DIEGO, CA 92105
Clinic/Center (Federally Qualified Health Center (FQHC))
4290 POLK AVE
SAN DIEGO, CA 92105
Registered Nurse
4290 POLK AVE
SAN DIEGO, CA 92105
Psychologist (Clinical)
4290 POLK AVE
SAN DIEGO, CA 92105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prudence Smith's NPI number?

The NPI number for Prudence Smith is 1801878533. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Prudence Smith located?

Prudence Smith practices at 4290 Polk Ave, San Diego, CA 92105. The listed phone number is (619) 563-0507.

What is Prudence Smith's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Prudence Smith was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.