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MS. LYDIA ANN SMITH FNP
NPI 1912498726
Nurse Practitioner - Family in Santa Rosa, CA

Active since May 29, 2018
2375 RANGE AVE UNIT 1, SANTA ROSA, CA 95403(707) 595-2817 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Lydia Ann Smith Fnp NPPES

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

MS. LYDIA ANN SMITH FNP (NPI 1912498726) is an individual family provider in Santa Rosa, California, licensed in California (95007721) and active in the NPI registry since May 2018. She maintains 4 additional practice locations.

NPPES Registry Identity

NPI1912498726
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. LYDIA ANN SMITHCredential: FNP
Location Address2375 RANGE AVE UNIT 1Santa Rosa, CA 95403-9419
Mailing Address2162 Frida AveSanta Rosa, CA 95403-8131 · (562) 665-5365
Phone(707) 595-2817
Sole ProprietorNo
Enumeration DateMay 29, 2018
Last NPPES UpdateJune 16, 2018
✔ NPI 1912498726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95007721
2375 RANGE AVE UNIT 1, Santa Rosa, CA 95403
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Secondary Practice Locations 4

Location 14855 Snyder Ln Apt 123Rohnert Park, CA 94928-4859 · Phone (707) 766-0401
Location 2300 Fountaingrove Pkwy Apt 215Santa Rosa, CA 95403-5725 · Phone (707) 766-0396
Location 33250 Chanate Rd Apt 319Santa Rosa, CA 95404-1770 · Phone (707) 285-7071
Location 4907 Adele Dr Apt 40Windsor, CA 95492-7831 · Phone (707) 657-4131

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 Lydia Smith's NPI number?

The NPI number for Lydia Smith is 1912498726. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Where is Lydia Smith located?

Lydia Smith practices at 2375 Range Ave Unit 1, Santa Rosa, CA 95403. The listed phone number is (707) 595-2817.

What is Lydia Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lydia Smith was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.