Latania R Smith-Washington

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

14333 Beach Blvd Ste 33
Jacksonville, FL 32250-1573

Phone

(904) 378-6405

NPI assigned

Aug 18, 2021

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1083380232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14333 BEACH BLVD STE 33",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501573",
            "telephone_number": "904-378-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14333 BEACH BLVD STE 33",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501573",
            "telephone_number": "904-378-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-WASHINGTON",
        "first_name": "LATANIA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Smith Woods, LPN
• Jacqueline Smith-Brown, M.A.
• Jaynell Smith-Cameron, DPM
• Kalena Smith-Fulwiley
• Keisha Smith-Read, M.D.
• Adam Oneil Smith, APRN
• Adriana Michele Smith, MA, LMHC
• Adrianne Smith, RN
• Alexis Smith
• Alexis Smith

• Student in an Organized Health Care Education/Training Program in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.