Robert Lee Smith III

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

444 Georgia St
Vallejo, CA 94590-6005

Phone

(707) 647-3972

NPI assigned

Mar 3, 2022

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MSK Solutions

  • Foster Care Agency
  • Vallejo, CA
  • NPI 1265023915
  NPD

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1124775739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 LEGEND CIR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918679",
            "telephone_number": "707-647-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 GEORGIA ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945906005",
            "telephone_number": "707-647-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-03",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Smith, NURSE PRACTITIONER
• Judith Gail Smith, NP
• Madeline Irene Smith, MD
• Mark Allan Smith, MD
• Richard Lyn Smith
• Sarah Anne Smith, D.O.
• Sha Vonn Smith
• Shannon Smith
• Wyatt Hardy Smith, DPT
• Janae Smothers

• Case Manager/Care Coordinator in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.