Marie Bernadine Smith

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

11017650 Issued in FL

Practice address

234 San Remo Blvd
North Lauderdale, FL 33068-3944

Phone

(954) 328-0375

NPI assigned

Apr 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• George T. Lim Jr, M.D., P.a.

  • Legal Medicine
  • Sunrise, FL
  • NPI 1427366475
  Medicare reassignment NPD
• El Shammah Health Services LLC

  • Home Health Agency
  • West Palm Beach, FL
  • NPI 1265284236
  NPD Authorized official

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1023753779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 SAN REMO BLVD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330683944",
            "telephone_number": "954-328-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 SAN REMO BLVD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330683944",
            "telephone_number": "954-328-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARIE",
        "middle_name": "BERNADINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "11017650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siah Health Services
• Gloria Silva, LMT
• Sirenity Tide Counseling Services LLC
• Rhonda Skinner, RPH
• La'Zoria S Smith, DOULA
• Solution Respiratory Therapy LLC
• Soroyas Serenity Home Healthcare
• Keisha-Boyd Spence, OTA
• Brunette St Victor
• Stephen B. Rothstein,O.D.

• Primary Care Clinic/Center in North Lauderdale, FL
• Providers in North Lauderdale, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.