Gia Samantha Smith

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

834852 Issued in CA

Practice address

2290 McCaffrey LN
Riverbank, CA 95367-2643

Phone

(209) 614-7455

NPI assigned

Jul 21, 2020

Last updated

Jul 21, 2020By 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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Specialty Ambulance LLC

  dba American Specialty Ambulance

  • Land Ambulance
  • Modesto, CA
  • NPI 1588015663
  NPD Authorized official
• American Specialty Ambulance, LLC

  dba American Specialty Ambulance

  • Ambulance
  • Modesto, CA
  • NPI 1740653005
  NPD Authorized official
• Valley Subacute & Rehabilitation Center, LLC

  dba Central Valley Post Acute, Modesto

  • Skilled Nursing Facility
  • Modesto, CA
  • NPI 1326032327
  NPD
• Colusa Medical Center LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Colusa, CA
  • NPI 1912446600
  NPD (past)
• Glenn Medical Center, LLC

  dba Glenn Medical Rural Health Clinic

  • Rural Health Clinic/Center
  • Willows, CA
  • NPI 1255632790
  NPD (past)
• Progressive Specialty Therapy Services LLC

  dba Progressive Specialty Therapy Services

  • Physical Therapy Clinic/Center
  • Modesto, CA
  • NPI 1962852863
  NPD (past)

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1649888173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 MCCAFFREY LN",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953672643",
            "telephone_number": "209-614-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 MCCAFFREY LN",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953672643",
            "telephone_number": "209-614-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GIA",
        "middle_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "834852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lynn Smallwood
• Antwan Smart
• Emerson Smees
• Alexis Smith
• Ayden Smith
• Keshia Smith
• Mona Smith
• Siena Smith
• Yasmine Smith
• Tierra Snipes

• Nurse Practitioner in Riverbank, CA
• Providers in Riverbank, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.