Jamie Erin Smith, SLP

Key facts

NPI

1184952012

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

104144 (TX)

Practice address

4101 S Medford Dr
Lufkin, TX 75901-5633

Phone

(936) 639-5676

Fax

(936) 633-5695

NPI assigned

Dec 4, 2009

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 4, 2009.

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1184952012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015633",
            "telephone_number": "936-639-5676",
            "fax_number": "936-633-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015633",
            "telephone_number": "936-639-5676",
            "fax_number": "936-633-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMIE",
        "middle_name": "ERIN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

• Daniel Dwight Smith, CRNA
• Dawn L Smith, LPC
• Eddie Buller Smith, MEDCCCSLP
• Heather Smith
• James Paul Smith, LPC
• Lanita Ann Smith, FNP-BC
• Lauren Michelle Smith, PTA
• Lytrenda Smith, BS, LCDC-I
• Trevor Smith
• SNG - Lufkin Dialysis Center LP

All providers in Lufkin, TX · Speech-Language Pathologist in Texas