Ladybird Mary Smith

Primary specialty

HomemakerTaxonomy code 376J00000X

License

S81307853 Issued in MA

Practice address

128 4TH St
Apt 1
Leominster, MA 01453-6064

Phone

(978) 602-5191

NPI assigned

Oct 22, 2021

Last updated

Oct 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1023772480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 4TH ST",
            "address_2": "APT 1",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014536064",
            "telephone_number": "978-602-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 4TH ST",
            "address_2": "APT 1",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014536064",
            "telephone_number": "978-602-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LADYBIRD",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "MA",
            "license": "S81307853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100004320311",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Homemaker in Leominster, MA
• Providers in Leominster, MA by specialty
• Homemaker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.