Tisha Smith

Key facts

NPI

1649393166

Entity type

Individual (NPI type 1)

Primary specialty

Attendant Care Provider 3747A0650X

Practice address

541 Shortleaf Dr
Avon, IN 46123-8178

Phone

(317) 745-4570

NPI assigned

Apr 9, 2007

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1649393166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 10TH ST",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 SHORTLEAF DR",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238178",
            "telephone_number": "317-745-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

• Joshua B Smith, MD
• Kimberly Smith
• Lauren Smith
• Megan Smith
• Tasha Smith, LMFT
• SNH Indy Tenant LLC
• Jenna Marie Snodgrass
• Jessica Loren Snyder, NP
• Rebecca Lemaire Snyder
• Zachary A Snyder, DO

All providers in Avon, IN · Attendant Care Provider in Indiana