Rahsan Roland Smith, INDEPENDENT DUTY HS

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

139 Equity Blvd
Houma, LA 70360-8363

Phone

(609) 675-8521

NPI assigned

Sep 29, 2021

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

Credentials

High School Graduate

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1104598119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 ANSLEY PLACE CT",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602944",
            "telephone_number": "609-675-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 EQUITY BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703608363",
            "telephone_number": "609-675-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RAHSAN",
        "middle_name": "ROLAND",
        "credential": "INDEPENDENT DUTY HS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Kristin Smith, RN
• Lacora Smith
• Latika Smith
• Lionel Smith Jr.
• Melissa Smith
• Raven Smith
• Sarah Katherine Smith, PA-C
• Shawn M Smith
• Tia Rojaunda Smith
• Trashawn Smith

• Independent Duty Corpsman in Houma, LA
• Providers in Houma, LA by specialty
• Independent Duty Corpsman in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.