Hadeacha A Smith

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

319274 Issued in OK

Practice address

2448 E 81St St Ste 4460
Tulsa, OK 74137-4251

Phone

(918) 600-2966

NPI assigned

Apr 19, 2024

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

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": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733011200000",
    "number": "1043065428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 E 88TH ST APT 437",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741371122",
            "telephone_number": "918-805-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 4460",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374251",
            "telephone_number": "918-600-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HADEACHA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-12-01",
        "certification_date": "2024-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": "319274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Diane Smith
• Gary H Smith, DDS
• Germaine Vaudale Smith, B.C.C
• Gina Renea Smith, PA-C
• Gregg A Smith, D.D.S.
• Harold Edmond Smith, MSW U/S, LMSW
• Heather Ruth Smith, CCC-SLP
• Henry Kyle Smith, DO
• Iesha Smith
• James Damon Smith, D.O.

• Case Manager/Care Coordinator in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2024; 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.