Brenda Rae Smith

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT11702 Issued in SD

Practice address

3220 S Western Ave Ste 1
Sioux Falls, SD 57105-5347

Phone

(605) 691-9957

NPI assigned

Jul 20, 2020

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

State licenses

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.

• Evidence Based Oriental Medicine, LLC

  • Acupuncturist
  • Omaha, NE
  • NPI 1851759781

  Massage Therapist

  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1295343945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 S WESTERN AVE LOWR LEVEL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055347",
            "telephone_number": "605-777-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 S WESTERN AVE STE 1",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055347",
            "telephone_number": "605-691-9957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11322 Q St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681373679",
            "country_code": "US",
            "telephone_number": "402-800-8560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRENDA",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SD",
            "license": "MT11702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Smith, PHARM D
• Andrea Lee Smith, OTR/L, CHT
• Angela Christine Smith
• Ashton Smith
• Brandy J Smith, CNP
• Brock Smith, ED.S
• Cheryl K Smith, LN
• Christopher R Smith, CRNA
• Collette Magdalena Smith
• Dena Smith, LPC

• Massage Therapist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Massage Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.