Smith Street LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

96702834 Issued in CO

Legal business name

SMITH STREET LLC

Practice address

308 Smith St.
Fort Collins, CO 80524

Phone

(970) 484-8250

NPI assigned

Jun 14, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Diane Lee Rehner

Title

Director

Phone

(970) 484-8250

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1013367705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SMITH ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242940",
            "telephone_number": "970-484-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SMITH ST.",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80524",
            "telephone_number": "970-484-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH STREET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "REHNER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "970-484-8250",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CO",
            "license": "96702834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia L Smikahl, PA
• Smile Doctors of Colorado, P.C.
• Alison Renee Smiley, MM, MT-BC, NMT
• Joy Smiley, RN
• Amy Smith Edwards, LCSW, MSW
• Alan Smith, DC
• Alison Smith, LCSW
• Alissa Smith, RN
• Allison Vanderveer Warner Smith, LCSW
• Amanda S Smith

• Developmentally Disabled Services Day Training Agency in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Developmentally Disabled Services Day Training Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.