Barretta Leanne Smith

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

09817273 Issued in TX

Practice address

4919 Mark Trail Way Apt 15C
Dallas, TX 75232-1438

Phone

(972) 404-6848

NPI assigned

May 31, 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

State licenses

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1114593282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 MARK TRAIL WAY APT 15C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752321438",
            "telephone_number": "972-404-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 MARK TRAIL WAY APT 15C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752321438",
            "telephone_number": "972-404-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BARRETTA",
        "middle_name": "LEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": "TX",
            "license": "09817273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Eunice Smith, NURSE PRACTITIONER
• Ashlyne Mae Smith
• Austyn Smith
• Bane L Smith, MD
• Barbara Sue Smith
• Benjamin Carl Smith
• Bertram L Smith III, MD
• Bradley Gene Smith, MS, CCC-SLP
• Brooke McKinley Smith, DPT
• Bruce Allen Smith, M.D.

• Attendant Care Provider in Dallas, TX
• Providers in Dallas, TX by specialty
• Attendant Care Provider in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.