Individual provider Active NPI

Victoria Smetts

  • Speech-Language Pathologist
  • Venice, FL
National Provider Identifier
1508584921
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ10845 Issued in FL
Practice address
256 Nokomis Ave S Ste 1
Venice, FL 34285-2357
Phone
(941) 402-2636
Fax
(866) 574-2604
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SZ10845 FL Primary

Addresses

Primary practice location

256 Nokomis Ave S Ste 1
Venice, FL 34285-2357

Mailing address

256 Nokomis Ave S Ste 1
Venice, FL 34285-2357

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://secure.simplepractice.com/users/sign_in?_ga=2.232995422.1599685101.1661141258-1637857494.1655954042

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
SZ10845FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1508584921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 NOKOMIS AVE S STE 1",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 NOKOMIS AVE S STE 1",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852357",
            "telephone_number": "941-402-2636",
            "fax_number": "866-574-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMETTS",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ10845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://secure.simplepractice.com/users/sign_in?_ga=2.232995422.1599685101.1661141258-1637857494.1655954042",
            "affiliation": "N",
            "address_1": "256 Nokomis Ave S Ste 1",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342852357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.