Olivia Smith

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

10305373 Issued in IN

Practice address

6619 Maple Glen Dr
Indianapolis, IN 46250-4545

Phone

(765) 894-0783

NPI assigned

Feb 19, 2024

Last updated

Feb 19, 2024By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Feeding Friends Children's Feeding Clinic and Therapy Services, Inc.

  • Early Intervention Provider Agency
  • Noblesville, IN
  • NPI 1184899593
  NPD

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1316702350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 MAPLE GLEN DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504545",
            "telephone_number": "765-894-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6619 MAPLE GLEN DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504545",
            "telephone_number": "765-894-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IN",
            "license": "10305373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Ann Smith, M.D.
• Nicole Smith
• Ola G Smith, LMFT
• Olisha Calvette Smith, MSW, LCSW
• Olivia Smith
• Patrice Smith
• Paul Joseph Smith
• Paul Steven Smith, PH.D.
• Paul Thomas Smith, MD
• Pauline Smith, NP

• Developmental Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Developmental Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.