Memory Smith

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

600 Avant Ave
Clinton, OK 73601-3916

Phone

(580) 323-3322

NPI assigned

Jul 17, 2024

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Multi-County Youth and Family Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton, OK
  • NPI 1205955226
  NPD

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1265270946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 N COLLEGE ST",
            "city": "CORDELL",
            "state": "OK",
            "postal_code": "736322616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 AVANT AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013916",
            "telephone_number": "580-323-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MEMORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgett Sue Sims, LPC
• Sinor Emergency Medical Service, Inc
• Cynthia Danielle Skelly, M.D.
• Barbara Sue Smith, M.ED
• Kaci Smith, LPN
• Monti Jo Smith
• Miranda Alberta Irene Smoot, APRN
• Southwest Counseling Services
• Southwest Okla Counseling, Inc
• Southwest Orthopaedic Specialists, PLLC

• Case Manager/Care Coordinator in Clinton, OK
• Providers in Clinton, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.