Active NPI
Heather Annette Smith, AU.D
- Audiologist
- St George, UT
National Provider Identifier
1225524192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 10868287-4101
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220118001280 | NV | Practitioner - Qualified Audiologist | 3173860715 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-2472 | NV | MD | Audiologist |
| 10868287-4101 | UT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Past | 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.
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
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.