Individual provider Active NPI

Emily Suzanne Smith, CRT, RCP

  • Certified Respiratory Therapist
  • Williamston, NC
National Provider Identifier
1083857767
Registry record updated Jul 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
License
2036 Issued in NC
Practice address
115 E Main St Ste 18
Williamston, NC 27892-2482
Phone
(252) 792-1659
Fax
(252) 792-2043
NPI assigned
Apr 10, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2036NCMDChiropractor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X 2036 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

115 E Main St Ste 18
Williamston, NC 27892-2482

Mailing address

PO Box 1041
Williamston, NC 27892-1041
Phone (252) 792-1659

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
7492751MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 3, 2009.

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246579200000",
    "number": "1083857767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1041",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921041",
            "telephone_number": "252-792-1659",
            "fax_number": "252-792-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST STE 18",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922482",
            "telephone_number": "252-792-1659",
            "fax_number": "252-792-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EMILY",
        "middle_name": "SUZANNE",
        "credential": "CRT, RCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "NC",
            "license": "2036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7492751",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2009; 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.