Autumn Lee Smith

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

9909 E 100 S
Greentown, IN 46936-9163

Phone

(765) 628-0605

Fax

(765) 628-3639

NPI assigned

Oct 29, 2018

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

Practice roles

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.

• Homefront Family Services

  • Speech-Language Pathologist
  • Greentown, IN
  • NPI 1073789467
  NPD (past)
• Homefront Family Services

  • Early Intervention Provider Agency
  • Greentown, IN
  • NPI 1760889570
  NPD (past)

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1043787971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6944 LILAC RD",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465639504",
            "telephone_number": "574-952-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 E 100 S",
            "city": "GREENTOWN",
            "state": "IN",
            "postal_code": "469369163",
            "telephone_number": "765-628-0605",
            "fax_number": "765-628-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AUTUMN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Sue Rohrbacher
• Breann Rosinski
• Katherine Ann Seybert, OTR
• Carrie Sheets, AU.D.
• Carissa Shepherd, NP
• St Joseph Primary LLC
• St. Joseph Primary Care, LLC
• Lori Kay Stiner, RPH
• Carrie Summerton, RPH
• Sunshine Transportation LLC

• Developmental Therapist in Greentown, IN
• Providers in Greentown, IN by specialty
• Developmental Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.