Douglas Smith

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

127 Mills Ave
Beckley, WV 25801-6815

Phone

(681) 222-9656

NPI assigned

Jan 18, 2023

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1104531763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MILLS AVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016815",
            "telephone_number": "681-222-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MILLS AVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016815",
            "telephone_number": "681-222-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Smith
• Christy Renae Smith
• Dawn R Smith, BSW
• Debbie Marie Smith
• Deborah Margaret Smith, BS
• Ebony Etashia Smith
• Edna Tinamarie Smith
• Elizabeth Nicole Smith, MS, RD, LDN
• Emily Smith
• Felecia Morgan Smith, PA-C

• Personal Care Attendant in Beckley, WV
• Providers in Beckley, WV by specialty
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.