Active NPI
Avena M Smith
- Counselor
- Selah, WA
National Provider Identifier
1033440318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CG60130338
- Practice address
- 350 Tibbling Rd
Selah, WA 98942-9253 - Phone
- (509) 697-8174
- NPI assigned
- Jan 26, 2010
- Last updated
- Mar 17, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG60130338 | WA | Primary |
Addresses
Primary practice location
350 Tibbling Rd
Selah, WA 98942-9253
Mailing address
350 Tibbling Rd
Selah, WA 98942-9253
Phone (509) 697-8174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60130338 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1033440318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 TIBBLING RD",
"city": "SELAH",
"state": "WA",
"postal_code": "989429253",
"telephone_number": "509-697-8174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 TIBBLING RD",
"city": "SELAH",
"state": "WA",
"postal_code": "989429253",
"telephone_number": "509-697-8174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "AVENA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-26",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG60130338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selah, WA
- Selah Medical Center Inc.
- Selah School District
- Selah Vision Source, PLLC (Selah Vision Clinic)
- Selah's Smiles Dental, LLC
- Diana Smigaj, M.D.
- Breanne Nicole Smith, CP60896258
- Manuela G Soria
- Shereen K Stocker, ARNP
- Sunnyside Community Hospital Association (Astria Health Center)
- The Markets LLC (Selah SaveOn Foods #845 Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.