Katrina Smith, LMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

6855 Issued in NM

Practice address

1712 Coe Rd SW
Albuquerque, NM 87105-7025

Phone

(505) 877-5858

NPI assigned

Apr 20, 2012

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

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": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1063779692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 COE RD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871057025",
            "telephone_number": "505-877-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 COE RD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871057025",
            "telephone_number": "505-877-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATRINA",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NM",
            "license": "6855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerianne Catherine Smith, MA SLP CF
• Joshua C Smith, DPT
• Julie Smith
• Julie Ann Smith, RN
• Katherine Smith
• Kendra Smith
• Kenneth J Smith, MD
• Kenneth Roger Smith, CCSS
• Kim Smith, PHD
• Kimberly D Smith, CNNP

• Mechanotherapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mechanotherapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.