Nathaniel A Smith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5216 SW 90TH Ter
Cooper City, FL 33328-5013

Phone

(561) 431-4077

NPI assigned

Apr 29, 2021

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1407439250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 NE 9TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333044409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5216 SW 90TH TER",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333285013",
            "telephone_number": "561-431-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NATHANIEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104850100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nellie Simkin Zeltsman, PHARM.D.
• Roger Elliott Sinkoe, D.P.M.
• Stephen M Sinkoe
• Cierra Smith
• Jessica Lee Smith
• Timothy Joseph Smith, LMT
• Melissa Sonthonax
• Sonya D Lewis DMD PA
• South Broward Endoscopy L L C
• South Florida Sleep Solutions LLC

• Behavior Technician in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.