Rebecca Yvonne Smith, STNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

400827581108 Issued in OH

Practice address

323 N Mathison St
Dayton, OH 45417-2444

Phone

(937) 212-3299

NPI assigned

Nov 19, 2020

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 names 1

• Rebecca Yvonne Smith Other name

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": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1508469859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 N MATHISON ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454172444",
            "telephone_number": "937-212-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N MATHISON ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454172444",
            "telephone_number": "937-212-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REBECCA",
        "middle_name": "YVONNE",
        "credential": "STNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "400827581108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SMITH",
            "middle_name": "YVONNE",
            "credential": "STNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Smith
• Nikkie Ledell Smith
• Quinton Smith
• Rachele Smith, CDCA
• Randy Smith, D.O.
• Rene Smith
• Renea Smith
• Revonna Joy Smith, DO
• Rick C Smith, LCDC III
• Riian Diane Smith

• Nurse's Aide in Dayton, OH
• Providers in Dayton, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.