Faith R Smith

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

132 S Water St
Suite 604
Decatur, IL 62523-1332

Phone

(217) 423-6199

Fax

(217) 423-1035

NPI assigned

Aug 22, 2007

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

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.

• Macon County Community Mental Health Board

  • Early Intervention Provider Agency
  • Decatur, IL
  • NPI 1164730925
  NPD (past)
• Macon County Mental Health Board

  • Case Management Agency
  • Decatur, IL
  • NPI 1023222627
  NPD (past)

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1265625263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S WATER ST",
            "address_2": "SUITE 604",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625231332",
            "telephone_number": "217-423-6199",
            "fax_number": "217-423-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S WATER ST",
            "address_2": "SUITE 604",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625231332",
            "telephone_number": "217-423-6199",
            "fax_number": "217-423-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "FAITH",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynne Smith, LSW
• Annie Michele Smith, L.C.S.W.
• Daniel Burtion Smith, M.D.
• Elizabeth K Smith, LPN
• Eric Smith, HIS
• Jeffery M Smith, M.D.
• Joseph Alexander Smith, ATC
• Joslynn Rose Smith, DMD
• Jykeeya Smith
• Levi Patrick Smith

• Case Management Agency in Decatur, IL
• Providers in Decatur, IL by specialty
• Case Management Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.