Active NPI
Katina Smith
- Driver
- Hayneville, AL
National Provider Identifier
1366909301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 6350020
- Practice address
- 179 Race Track LN
Hayneville, AL 36040-2045 - Phone
- (334) 300-4176
- NPI assigned
- Feb 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 6350020 | AL | Primary |
Addresses
Primary practice location
179 Race Track LN
Hayneville, AL 36040-2045
Mailing address
179 Race Track LN
Hayneville, AL 36040-2045
Phone (334) 300-4176
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6350020 | AL | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Where 2 Next Transportation, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Hayneville, AL
- NPI 1679030621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1366909301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 RACE TRACK LN",
"city": "HAYNEVILLE",
"state": "AL",
"postal_code": "360402045",
"telephone_number": "334-300-4176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 RACE TRACK LN",
"city": "HAYNEVILLE",
"state": "AL",
"postal_code": "360402045",
"telephone_number": "334-300-4176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KATINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "AL",
"license": "6350020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayneville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.