IndividualActive
Angela Smith
NPI 1538017702 · Home Health Registered Nurse · Lake Cormorant, MS
Provider details
- NPI number
- 1538017702
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 930761 (MS)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3132 Camilla Cir E
Lake Cormorant, MS 38641-1007
Phone: (901) 364-8610
Fax: (901) 364-8610
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 101
Walls, MS 38680-0101
Registry dates
- Enumerated
- 2026-03-21
- Last updated
- 2026-03-21
- Certified
- 2026-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.