Caroline R Smith, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

12-0265 Issued in NV

Practice address

705 Twin Lakes Dr
Las Vegas, NV 89107-2161

Phone

(702) 378-2118

NPI assigned

Jan 28, 2015

Last updated

Jan 28, 2015By 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

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": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1093105090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 TWIN LAKES DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072161",
            "telephone_number": "702-378-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 TWIN LAKES DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072161",
            "telephone_number": "702-378-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAROLINE",
        "middle_name": "R",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NV",
            "license": "12-0265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Edward Smith Jr.
• Carl K Smith
• Carla Smith
• Carly Smith
• Carol Smith
• Cassandra L Smith
• Cathy Anne Smith, M. COUN. MFT
• Chamyra Smith
• Chanel Diane Smith
• Charetha Smith

• Pediatric Occupational Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatric Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.