Rosanetta Smith

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

NV20181306317 Issued in NV

Practice address

1104 Ferguson Ave
North Las Vegas, NV 89030-5391

Phone

(702) 553-8139

Fax

(702) 553-8139

NPI assigned

Aug 28, 2018

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

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": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1629559596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 FERGUSON AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890305391",
            "telephone_number": "702-553-8139",
            "fax_number": "702-553-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 FERGUSON AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890305391",
            "telephone_number": "702-553-8139",
            "fax_number": "702-553-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROSANETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "NV20181306317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Smith, B.S., B.A.
• Nathaina Felicia Smith, D.O.
• Nycole Smith
• Patricia Smith
• Raniell Smith
• Samuel Smith
• Sarah Smith
• Tabitha J Smith
• Taishana M Smith
• Tammie Smith

• Home Health Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.