Keyana Smith, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2440 Issued in MA

Practice address

2 Pond Park Rd Ste 102
Hingham, MA 02043-4354

Phone

(781) 337-5555

NPI assigned

Mar 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1520035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614988800000",
    "number": "1528560737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CENTRE ST # 1622",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021698600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 POND PARK RD STE 102",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434354",
            "telephone_number": "781-337-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5557 Milburn Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631293514",
            "country_code": "US",
            "telephone_number": "314-467-7206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEYANA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-03",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2017004335",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "2440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smith Psychotherapy LLC
• Amasa Smith, LICSW
• Daniel C. Smith
• Heather Duckworth Smith, PSY.D.
• Karen Smith, PT
• Lindsay Smith, MS, CCC-SLP
• Marcia R. Smith, LICSW
• Mary-Dixon Smith
• Jill Solimini
• Ravinder S Soodan, MD

• Athletic Trainer in Hingham, MA
• Providers in Hingham, MA by specialty
• Athletic Trainer in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; 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.