Kayla Dawn Smith, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2222 E Powell Blvd
Gresham, OR 97080-1365

Phone

(503) 699-4300

NPI assigned

Feb 21, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Interoperability endpoints

• Direct secure messaging: lifestancehealth.kaylasmith@148835.advancedmd-direct.com

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1649737115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N PINE ST APT D300",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970134462",
            "telephone_number": "503-413-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E POWELL BLVD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970801365",
            "telephone_number": "503-699-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAYLA",
        "middle_name": "DAWN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gallagher Smith
• George Leslie Smith, LCSW
• James Alan Smith, D.M.D
• Jason Anthony Smith, PHARM.D.
• Jordan K Smith
• Mary Edson Smith, LCSW
• Sierra Rose Smith
• Alexis Smithers, FNP-BC
• Jessica Snow, LPC - ASSOCIATE
• Joshua Gardner Snow, PHYSICIAN ASSISTANT

• Counselor in Gresham, OR
• Providers in Gresham, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.