Individual provider Active NPI

Daria S. Goodman-Smith

  • Rehabilitation Registered Nurse
  • Livonia, MI
National Provider Identifier
1356050835
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Registered NurseTaxonomy code 163WR0400X
License
4704320813 Issued in MI
Practice address
17187 N Laurel Park Dr Ste 160
Livonia, MI 48152-2692
Phone
(734) 482-1200
NPI assigned
Nov 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Registered Nurse 163WR0400X 4704320813 MI Primary

Addresses

Primary practice location

17187 N Laurel Park Dr Ste 160
Livonia, MI 48152-2692

Mailing address

17187 N Laurel Park Dr Ste 160
Livonia, MI 48152-2692
Phone (734) 482-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4704320813MIMDRehabilitation Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1356050835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17187 N LAUREL PARK DR STE 160",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522692",
            "telephone_number": "734-482-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17187 N LAUREL PARK DR STE 160",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522692",
            "telephone_number": "734-482-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN-SMITH",
        "first_name": "DARIA",
        "middle_name": "S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "MI",
            "license": "4704320813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.