Active NPI
Kaniya Kashell Smotherman
- In Home Supportive Care Agency
- St Louis , Mo, MO
National Provider Identifier
1487139937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 3834A Cotebrilliante Ave.
St Louis , Mo, MO 63113 - Phone
- (314) 489-8686
- NPI assigned
- Oct 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
3834A Cotebrilliante Ave.
St Louis , Mo, MO 63113
Mailing address
721 Sciecehill Dr.
St.Louis, MO 63137
Phone (314) 489-8686
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1487139937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 SCIECEHILL DR.",
"city": "ST.LOUIS",
"state": "MO",
"postal_code": "63137",
"telephone_number": "314-489-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3834A COTEBRILLIANTE AVE.",
"city": "ST LOUIS , MO",
"state": "MO",
"postal_code": "63113",
"telephone_number": "314-489-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOTHERMAN",
"first_name": "KANIYA",
"middle_name": "KASHELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-01",
"last_updated": "2018-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Louis , Mo, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.