Active NPI
Carrie Smith, ATC, LAT
- Community Health Worker
- Haverford, PA
National Provider Identifier
1447619341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- RT006075
- Practice address
- 450 Lancaster Ave
Haverford, PA 19041-1337 - Phone
- (484) 368-1460
- NPI assigned
- Feb 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | RT006075 | PA | Primary |
Addresses
Primary practice location
450 Lancaster Ave
Haverford, PA 19041-1337
Mailing address
421 Morris Rd
Apt A24
Wayne, PA 19087-3069
Phone (443) 223-9719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT006075 | PA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455840000000",
"number": "1447619341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 MORRIS RD",
"address_2": "APT A24",
"city": "WAYNE",
"state": "PA",
"postal_code": "190873069",
"telephone_number": "443-223-9719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 LANCASTER AVE",
"city": "HAVERFORD",
"state": "PA",
"postal_code": "190411337",
"telephone_number": "484-368-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CARRIE",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-19",
"last_updated": "2016-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "PA",
"license": "RT006075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haverford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.