Diedre Smith

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9419981 Issued in FL

Practice address

9624 Maxson Drive
Land O Lakes, FL 34638

Phone

(813) 751-4718

NPI assigned

Nov 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dee S de Haven Care

  • Developmentally Disabled Services Day Training Agency
  • Land O' Lakes, FL
  • NPI 1447624762

  Day Training, Developmentally Disabled Services

  NPD (past) Authorized official

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1548634157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9624 MAXSON DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346386973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9624 MAXSON DRIVE",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "34638",
            "telephone_number": "813-751-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DIEDRE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9419981",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "RN9419981",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "RN9419981",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Simmons, M.S.W.
• Anthianette Yvonne Sims
• Jorick Mikhael De Guzman Sison, FNP-BC
• Taylor Skrodzki
• Stephanie Slone, PHYSICAL THERAPIST
• Safiya SMTH, LMT
• Christina Nicole Snure, LMHC
• Solutions Psychotherapy, PLLC
• Ubolwan Somboonsong, PHARMD
• Angela Patricia Sommers Cormier, PA-C

• Registered Nurse in Land O' Lakes, FL
• Providers in Land O' Lakes, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.