Tanwanda Smith

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

23592 Issued in NC

Practice address

549 Cox Rd
Gastonia, NC 28054-0628

Phone

(704) 865-1558

NPI assigned

Nov 17, 2016

Last updated

Oct 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McLeod Centers for Wellbeing

  • Community/Behavioral Health Agency
  • Lenoir, NC
  • NPI 1285054411
  NPD (past)
• McLeod Centers for Wellbeing

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1841477205
  NPD (past)

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1457894784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CLANTON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540628",
            "telephone_number": "704-865-1558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Clanton Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282171309",
            "country_code": "US",
            "telephone_number": "704-332-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TANWANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "23592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Wilson Smith, M.D.
• Shameka Rachelle Smith
• Sharlene T Smith, PHD., MBA, MSIT
• Sharon Annette Smith, PA-C
• Steven Allan Smith, M.D.
• Wanda Renee Smith, MA CCCSLP
• Smith's of Gastonia, Inc.
• SNH NC Tenant LLC (Morningside of Gastonia)
• Sarah M Snider, OTR/L
• Jordyn Rae Snipes, LCSWA

• Addiction (Substance Use Disorder) Counselor in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.