Victoria Smith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

105 Windsor Path Ste 1
Georgetown, KY 40324-9819

Phone

(859) 559-6041

NPI assigned

Apr 22, 2022

Sex

Female

Sole proprietor

Yes

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.

• Bluegrass Behavioral Health Group, LLC

  • Behavior Analyst
  • Edgewood, KY
  • NPI 1952840860
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2022.

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1396489787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WINDSOR PATH STE 1",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249819",
            "telephone_number": "859-559-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WINDSOR PATH STE 1",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249819",
            "telephone_number": "859-559-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Douglas Smith, MD
• Chelsea Smith, M.S., OTR/L
• Daniel Edward Smith, CF
• Luona Jane Smith, R.PH.
• Nicholas Brett Smith, MD
• Emily Anne Snellen, MS, CCC-SLP
• Gary V. Snyder, O.D.
• Sorrell Home Medical Equipment, LLC
• Jaylin Alexander Soto
• Bobbi Spalding, APRN

• All providers in Georgetown, KY
• Behavior Technician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.