Rhonda D Smith Roberts

Primary specialty

SpecialistTaxonomy code 174400000X

License

HB14867 Issued in FL

Practice address

2754 Sam Hardwick Blvd
Jacksonville, FL 32246-3892

Phone

(904) 778-5317

Fax

(904) 278-8220

NPI assigned

Jun 22, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1255957643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 SAM HARDWICK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322463892",
            "telephone_number": "904-778-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2754 SAM HARDWICK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322463892",
            "telephone_number": "904-778-5317",
            "fax_number": "904-278-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH ROBERTS",
        "first_name": "RHONDA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "HB14867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smita Malhotra
• Smita Malhotra DPM PA
• Smith and Smith Dental Associates, LLC
• Smith Johnson Medical Group, LLC
• Smith Rehab Consultants PLLC
• Tammy Smith Woods, LPN
• Jacqueline Smith-Brown, M.A.
• Jaynell Smith-Cameron, DPM
• Kalena Smith-Fulwiley
• Keisha Smith-Read, M.D.

• Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.