Stephanie D Smith

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN9419141 Issued in FL

Practice address

921 Gibson St
Titusville, FL 32780-7721

Phone

(321) 747-7870

NPI assigned

Mar 23, 2019

Last updated

Mar 23, 2019By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553299200000",
    "number": "1487114559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 GIBSON ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807721",
            "telephone_number": "321-747-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 GIBSON ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807721",
            "telephone_number": "321-747-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHANIE",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2019-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9419141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN9419141",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Slade, DDS
• Annmarie Slater, LPN
• Charles A Slattery, MD
• Frederick Raymond Smith Jr., MD
• Jessica L Smith, LMHC
• Steven Louis Smith, D.C.
• Jaime Brooke Smyth
• Mohamed Aly Soliman
• Michael Sorbello, DO
• Renee Lok-Yee Wong Soucier, MD

• Home Health Registered Nurse in Titusville, FL
• Providers in Titusville, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.