Susan E Smith, ATC LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

16713 Ella Blvd
Houston, TX 77090-4213

Phone

(281) 586-1364

NPI assigned

Jun 30, 2006

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1447289764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 CARAQUET DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773862686",
            "telephone_number": "281-419-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16713 ELLA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770904213",
            "telephone_number": "281-586-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "ATC LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonnet Sherice Smith
• Stacey Darnell Smith
• Stephan Smith, N.N.P.
• Stephanie Smith, MD
• Stephanie Joyce Smith, PTA
• Sylvia J. Smith, M.ED. LPC-A
• Sylvia Segura Smith, LBSW
• Talisha J Smith
• Tanesha Javon Smith, COTA
• Taquana Shante Smith

• Athletic Trainer in Houston, TX
• Providers in Houston, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.