Individual provider Active NPI

Caileigh Natalia Smith

  • Student in an Organized Health Care Education/Training Program
  • Denver, CO
National Provider Identifier
1396370698
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1719 E 19TH Ave
Denver, CO 80218-1235
Phone
(541) 331-4443
NPI assigned
Mar 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1719 E 19TH Ave
Denver, CO 80218-1235

Mailing address

1103 Tamera Dr
Klamath Falls, OR 97603-4171

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address caileigh.smith@samuelmerritt.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230728002820 CO Order and Referring Only - PodiatryPractitioner - Podiatry 2860853454
I20250613002008 OR Order and Referring Only - PodiatryPractitioner - Podiatry 2860853454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1396370698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 TAMERA DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 E 19TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181235",
            "telephone_number": "541-331-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAILEIGH",
        "middle_name": "NATALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caileigh.smith@samuelmerritt.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "653 Vernon St",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946101419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.