Angelite Paige Smith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

719 Spencer St
Logansport, IN 46947-3583

Phone

(765) 242-8910

NPI assigned

Dec 15, 2022

Sex

Female

Sole proprietor

No

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": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1568174142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 SPENCER ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469473583",
            "telephone_number": "765-242-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 SPENCER ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469473583",
            "telephone_number": "765-242-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANGELITE",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "RBT-22-246617",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "catalyst",
            "affiliation": "N",
            "address_1": "719 Spencer St",
            "city": "Logansport",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469473583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nasser M. Shinwarie, M.D.
• Cheryl Shively, FNP-C
• David George Short, DO
• Sarah Marie Silance, BA
• Sydney Rae Sims, LAT, ATC
• Cathy Ellen Snyder, BA
• David M Sommers, MD
• Sonus-USA, Inc.
• David Spear
• Alethea Marie Spencer

• Behavior Technician in Logansport, IN
• Providers in Logansport, IN by specialty
• Behavior Technician in Indiana

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

Verify at the official NPI Registry.