Active NPI
Kenchelle S Smith
- Case Management Agency
- Mesquite, TX
National Provider Identifier
1538897780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 3939 US Highway 80 E Ste 223
Mesquite, TX 75150-3353 - Phone
- (972) 373-4932
- NPI assigned
- Aug 15, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | TX | Primary |
Addresses
Primary practice location
3939 US Highway 80 E Ste 223
Mesquite, TX 75150-3353
Mailing address
17717 Vail St Apt 1412
Dallas, TX 75287-6434
Phone (346) 874-0935
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1538897780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17717 VAIL ST APT 1412",
"city": "DALLAS",
"state": "TX",
"postal_code": "752876434",
"telephone_number": "346-874-0935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 US HIGHWAY 80 E STE 223",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751503353",
"telephone_number": "972-373-4932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KENCHELLE",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-15",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.