Stephanie Ann Smith, MD

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

5068 Issued in TX

Practice address

2902 18TH St
Lubbock, TX 79409-9820

Phone

(806) 742-4561

NPI assigned

Jun 2, 2023

Last updated

Jun 8, 2023By the provider in NPPES

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1639862758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41071",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794091071",
            "telephone_number": "806-834-7466",
            "fax_number": "806-742-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 18TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794099820",
            "telephone_number": "806-742-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Otero Smith, MAT, ATC, LAT
• Najuka Kendra Smith, LPC, NCC
• Nashay Smith
• Rachel Anna Smith, MA, LPC, LCDC
• Shena Smith, PHD
• Stephanie Lynn Smith
• Steven D Smith, O.D.
• Presley Strange Smithwick IV, RPH
• Sara Ann Smock, PHD
• Jolanta Smyda, DDS

• Behavior Analyst in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.