Dorothy Anne Smith, BS

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

1080 Taylor Estate Rd
Williamston, NC 27892-9655

Phone

(252) 792-3020

Fax

(252) 792-3020

NPI assigned

Aug 24, 2007

Last updated

Dec 10, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

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

• Developmental Play

  • Early Intervention Provider Agency
  • Williamston, NC
  • NPI 1578746848
  NPD Authorized official

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1053504837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 TAYLOR ESTATE RD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278929655",
            "telephone_number": "252-792-3020",
            "fax_number": "252-792-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 TAYLOR ESTATE RD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278929655",
            "telephone_number": "252-792-3020",
            "fax_number": "252-792-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOROTHY",
        "middle_name": "ANNE",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "252Y00000X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamielou Sevilla, OTR/L
• Sherman Bernard Boone (Path Beyond Potential)
• Tiyon Lavon Simmons, LCMHCA
• SJ Legacy Home LLC
• Steven Earl Skahill, M.D.
• Emily Suzanne Smith, CRT, RCP
• Tracie V Smith, MSW, LCSW
• Brooks Stalls
• Kimberly Roberson Stevens, OTR/L
• Kristen Harrison Stewart, PT, DPT

• Early Intervention Provider Agency in Williamston, NC
• Providers in Williamston, NC by specialty
• Early Intervention Provider Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.