Individual provider Active NPI

Heather Annette Smith, AU.D

  • Audiologist
  • St George, UT
National Provider Identifier
1225524192
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
10868287-4101 Issued in UT
Practice address
617 E Riverside Dr Ste 102
St George, UT 84790-8720
Phone
(435) 688-8866
Fax
(435) 688-2882
NPI assigned
Jul 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-2472 NV
Audiologist 231H00000X 10868287-4101 UT Primary

Addresses

Primary practice location

617 E Riverside Dr Ste 102
St George, UT 84790-8720

Mailing address

617 E Riverside Dr Ste 102
St George, UT 84790-8720
Phone (435) 688-8866

Other practice location 1

330 N Sandhill Blvd Ste F1
Mesquite, NV 89027-4779
Phone (702) 346-4622

Other practice location 2

295 S 1470 E Ste 301
St George, UT 84790-1962
Phone (435) 688-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220118001280 NV Practitioner - Qualified Audiologist 3173860715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A-2472NVMDAudiologist
10868287-4101UTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. PastSince Oct 13, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1225524192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E RIVERSIDE DR STE 102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908720",
            "telephone_number": "435-688-8866",
            "fax_number": "435-688-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E RIVERSIDE DR STE 102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908720",
            "telephone_number": "435-688-8866",
            "fax_number": "435-688-2882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 N Sandhill Blvd Ste F1",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890274779",
            "country_code": "US",
            "telephone_number": "702-346-4622",
            "fax_number": "702-346-8796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "295 S 1470 E Ste 301",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847901962",
            "country_code": "US",
            "telephone_number": "435-688-8866",
            "fax_number": "435-688-2882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEATHER",
        "middle_name": "ANNETTE",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NV",
            "license": "A-2472",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "10868287-4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.