Johnanna Smith, LICENCE

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

C41080 Issued in NC

Practice address

1912 E Hwy NC 54 Suite 100
Durham, NC 27713

Phone

(919) 949-5592

NPI assigned

Apr 18, 2023

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

State licenses

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1336835701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 E NC HIGHWAY 54",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132235",
            "telephone_number": "919-949-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 E HWY NC 54 SUITE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-949-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHNANNA",
        "credential": "LICENCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NC",
            "license": "C41080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Shea Smith, DDS
• Jamie Stabile Smith, PA
• Jennifer Cantu Smith, LCSW A
• Jennifer Dawn Smith, D.O.
• Jennifer Leigh Smith, MD
• Jonathan Smith
• Joshua Franklyn Smith, PA-C
• Kathryn Sara Smith, MSN, APRN, AGCNS-BC
• Katrina Nicole Smith, AGACNP-BC
• Kayla J Smith

• Prosthetics Case Management in Durham, NC
• Providers in Durham, NC by specialty
• Prosthetics Case Management in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.