Gigi Yvette Smoak, L.M.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

35784 Issued in FL

Practice address

108 Hillcrest Cir NE
Branford, FL 32008-2948

Phone

(386) 935-4070

NPI assigned

Oct 5, 2007

Last updated

Oct 5, 2007By 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 1

Addresses

Other identifiers 3

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": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1386832111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HILLCREST CIR NE",
            "city": "BRANFORD",
            "state": "FL",
            "postal_code": "320082948",
            "telephone_number": "386-935-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 HILLCREST CIR NE",
            "city": "BRANFORD",
            "state": "FL",
            "postal_code": "320082948",
            "telephone_number": "386-935-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOAK",
        "first_name": "GIGI",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "35784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "C-2065",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "35784",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "12066",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rodney Lee Scyphers, ARNP-C, MSN
• Kali Sharpe, APRN
• Darya Smith
• Raymond Spears, M.S.
• Caroline Stapleton
• Three Rivers Medical
• Three Rivers Medical Inc.
• TJ Health & Wellness LLC

• Specialist in Branford, FL
• Providers in Branford, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.