Carolyn Dianne Smith

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

14077 Felton Rd
Gulfport, MS 39503-5131

Phone

(632) 271-4367

NPI assigned

Sep 6, 2019

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

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1245889773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14077 FELTON RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395035131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14077 FELTON RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395035131",
            "telephone_number": "632-271-4367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14077 Felton Rd",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395035131",
            "country_code": "US",
            "telephone_number": "623-271-4367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14077 Felton Rd",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395035131",
            "country_code": "US",
            "telephone_number": "623-271-4367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAROLYN",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smile Country Orthodontics
• Sarah Suzanne Smirthwaite
• Calvin Smith
• Carlyle Grace Smith, PHARMD
• Carol Ann Smith, M.D.
• Chandra Smith
• Chase Allen Smith, NP
• Claudia Bridgett Smith, RN
• Daniel Bruce Smith, M.D., PHD
• Elena C Smith

• Attendant Care Provider in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Attendant Care Provider in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.