Willesha Trevess Smith

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

5684 Elsinore Way
Lakeland, FL 33805-2660

Phone

(863) 617-3689

NPI assigned

Jan 3, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Desirable Measures Lab Services LLC

  • Clinical Medical Laboratory
  • Lakeland, FL
  • NPI 1720739162
  NPD Authorized official

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1245879550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5684 ELSINORE WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052660",
            "telephone_number": "863-617-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5684 ELSINORE WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052660",
            "telephone_number": "863-617-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WILLESHA",
        "middle_name": "TREVESS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024490600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shana Smith, LPN
• Shayna Nicole Smith, M.S., CCC-SLP
• Sheryl Nicole Smith, RBT
• Tamara Lynne Smith
• Tammy Smith
• Zareja T Smith
• Brandon Snel, MD
• SNJ Dental Studio, LLC
• Susan R Snover, ED D CCC SLP
• Brett D. Snow, PHD

• Homemaker in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.