Sonya Renee Smith

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

4614 Southcrest Dr
Louisville, KY 40215-2431

Phone

(502) 724-9002

Fax

(502) 375-1984

NPI assigned

Jun 21, 2019

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1528629524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 SOUTHCREST DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152431",
            "telephone_number": "502-724-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 SOUTHCREST DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152431",
            "telephone_number": "502-724-9002",
            "fax_number": "502-375-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SONYA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "502-724-9002",
            "affiliation": "N",
            "endpointDescription": "personal cell phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4614 Southcrest Dr",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402152431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Smith
• Shannon Leigh Smith, ARNP
• Sharon K. Smith, PT
• Shatia Marie Smith
• Shelby Chantal Hope Smith, PA-C
• Stephanie Smith, CCC-SLP
• Stephanie Marie Smith, PT, DPT
• Stephen Damon Smith, O.D.
• Stephen Z. Smith, M.D.
• Smith, Stockhammer and Associates, PLLC

• Developmental Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Developmental Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.