Mizetta Smith

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

8805 Q St Apt 108
Omaha, NE 68127-4819

Phone

(402) 403-2669

NPI assigned

Mar 17, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1417757717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 N 93RD CT APT 24",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681345835",
            "telephone_number": "402-403-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 Q ST APT 108",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681274819",
            "telephone_number": "402-403-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MIZETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Rose Smith, MD
• Mike Smith
• Mikel Smith
• Milaysia Smith
• Mildred V Smith
• Monique G Smith, MD
• Nancy G Smith
• Natalie Smith, M.A., CCC-SLP
• Natalie Irene Smith
• Natrielle Andrea' Smith

• Adult Companion in Omaha, NE
• Providers in Omaha, NE by specialty
• Adult Companion in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.