Sasheka Samantha Smith

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

326832 Issued in NY

Practice address

19 E Avon Dr
Amityville, NY 11701-2023

Phone

(631) 671-1984

NPI assigned

May 22, 2018

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": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1184115487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E AVON DR",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E AVON DR",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012023",
            "telephone_number": "631-671-1984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 E Avon Dr",
            "address_purpose": "LOCATION",
            "city": "Amityville",
            "state": "NY",
            "postal_code": "117012023",
            "country_code": "US",
            "telephone_number": "631-671-1984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SASHEKA",
        "middle_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "326832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Slobodin, LDO
• Dantie Smith
• Deborah A Smith, RN
• Malissa Smith
• Rose Smith, PMHNP
• Edward Sodaro, MD
• Solacenavllc
• Gail Solomon
• Giulia Sorrentino, M.D.
• Sound Body Physical Therapy

• Licensed Practical Nurse in Amityville, NY
• Providers in Amityville, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.