Lacechave Smith

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

License

31632496 Issued in NC

Practice address

4207 Garden St
Winston Salem, NC 27105-3239

Phone

(704) 756-0160

NPI assigned

Dec 6, 2022

Last updated

Dec 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1336850940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 GARDEN ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271053239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 GARDEN ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271053239",
            "telephone_number": "704-756-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LACECHAVE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NC",
            "license": "31632495",
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "NC",
            "license": "31632496",
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NC",
            "license": "31632495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Killeen Smith, PA-C
• Kenya Renee Smith, MS, LAT, ATC, CES
• Keri Lynne Smith, M.D.
• Kevin Smith
• Kristen Elizabeth Smith, RPH
• Lavorice Smith
• Leigh Anne Smith, CNM
• Lonnie W. Smith Jr., PHD, LPC, NCC
• Madeline Clare Smith, MD
• Mark Alan Smith I, CRNA

• Transportation Broker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Transportation Broker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.