Dewanna L Smith

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

License

4051 Issued in AZ

Practice address

712 S Kenyon CT
Tucson, AZ 85710-5902

Phone

(520) 722-3396

Fax

(520) 722-1147

NPI assigned

Oct 23, 2006

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

Other names 1

• Joe B Smith Jr. Other name

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295818243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 S KENYON CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857105902",
            "telephone_number": "520-722-3396",
            "fax_number": "520-722-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 S KENYON CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857105902",
            "telephone_number": "520-722-3396",
            "fax_number": "520-722-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEWANNA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "4051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOE",
            "last_name": "SMITH",
            "middle_name": "B",
            "suffix": "JR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cynthia Gomez Smith, F.N.P.
• Dana A Smith, FNP
• Danielle Andree Smith
• David Smith
• Debra Lee Smith, PA-C
• Diane Elizabeth Smith, AU.D.
• Diane Elizabeth Smith, LCSW
• Dori Marie Smith, DMA, MS, CCC-SLP
• Edward Bartlett Smith
• Emiko J Smith, M.S. CCC-SLP

• Child Mental Illness Respite Care in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Child Mental Illness Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.