Desiree Smith

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

5048 Milange St
North Las Vegas, NV 89031-2309

Phone

(619) 647-7696

NPI assigned

Sep 10, 2019

Last updated

Sep 10, 2019By the provider in NPPES

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

Electronic endpoints 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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1467001511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7251 W LAKE MEAD BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288380",
            "telephone_number": "702-562-4344",
            "fax_number": "702-562-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5048 MILANGE ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312309",
            "telephone_number": "619-647-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DESIREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CAREVISITORS",
            "affiliation": "N",
            "endpointDescription": "HOME HEALTH AGENCY",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "7251 W LAKE MEAD BLVD STE 300",
            "address_1": "5048 Milange St",
            "city": "North Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890312309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brett Smith
• Brittnay Smith
• Damonysha Smith
• Deant'E Smith
• Deasha Smith
• Dezmond Smith
• Donald M. Smith, LCSW
• Donisha Roshonda Smith
• Emerald Elizabeth Smith, COTA/L
• Erica Dionna Smith

• Home Health Aide in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Home Health Aide in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.