Individual provider Active NPI

Larekia Smith

  • Doula
  • Mount Prospect, IL
National Provider Identifier
1477025302
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
4052 Issued in FL
Practice address
1850 W Palm Dr Apt 317
Mount Prospect, IL 60056-4430
Phone
(708) 477-2710
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 4052 FL Primary

Addresses

Primary practice location

1850 W Palm Dr Apt 317
Mount Prospect, IL 60056-4430

Mailing address

1850 W Palm Dr Apt 317
Mount Prospect, IL 60056-4430
Phone (708) 477-2710

Other practice location 1

1016 W Jackson Blvd
Chicago, IL 60607-2914
Phone (312) 319-3357

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

LicenseStateTypeSpecialty
4052FLMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1477025302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W PALM DR APT 317",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564430",
            "telephone_number": "708-477-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W PALM DR APT 317",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564430",
            "telephone_number": "708-477-2710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 W Jackson Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606072914",
            "country_code": "US",
            "telephone_number": "312-319-3357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAREKIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "FL",
            "license": "4052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

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