Audrey Smith

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

1609 E Palmdale Blvd
Suite G
Palmdale, CA 93550-4881

Phone

(661) 947-1595

Fax

(661) 575-1682

NPI assigned

Apr 9, 2007

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

Electronic endpoints 1

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.

• Mental Health America of Los Angeles

  • Community/Behavioral Health Agency
  • Palmdale, CA
  • NPI 1942326871
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1063535433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43850 20TH EAST APT. #124",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93535",
            "telephone_number": "661-947-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 E PALMDALE BLVD",
            "address_2": "SUITE G",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504881",
            "telephone_number": "661-947-1595",
            "fax_number": "661-575-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AUDREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amsmith@mhala.org",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1609 E Palmdale Blvd",
            "address_2": "Suite G",
            "city": "Palmdale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935504881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marilyn Louise Sloan, RN
• Monica Slone, MFT
• Smile Orthodontics
• Amanda Leigh Smith, LMFT #116443
• Anita J Smith
• Bonita Louise Smith
• Christine E Smith, CSAC1
• Fatima Cecile Smith, RN-PHN
• Jackey Smith, LCSW, PSYD
• Lisa Smith

• Rehabilitation Practitioner in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.