Active NPI
Nita Smith
- Home Health Agency
- Florissant, MO
National Provider Identifier
1528373149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 0007914
- Practice address
- 563 Howdershell Rd
Florissant, MO 63031-6401 - Phone
- (314) 921-9448
- Fax
- (314) 921-9440
- NPI assigned
- Aug 9, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Home Health Agency | 251E00000X | 0007914 | MO | Primary |
Addresses
Primary practice location
563 Howdershell Rd
Florissant, MO 63031-6401
Mailing address
563 Howdershell Rd
Florissant, MO 63031-6401
Phone (314) 921-9448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273564356 | Medicaid | MO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0007914 | MO | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1528373149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "563 HOWDERSHELL RD",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630316401",
"telephone_number": "314-921-9448",
"fax_number": "314-921-9440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "563 HOWDERSHELL RD",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630316401",
"telephone_number": "314-921-9448",
"fax_number": "314-921-9440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "NITA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-09",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": "0007914",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273564356",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.