Wanda D Smith, COF,CMF

Primary specialty

Orthotic FitterTaxonomy code 225000000X

License

7795203 Issued in NC

Practice address

2302 Wayne Memorial Dr
Goldsboro, NC 27534-1726

Phone

(919) 735-6936

Fax

(919) 735-3001

NPI assigned

Jun 19, 2007

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

Other identifiers 1

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1669677522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341726",
            "telephone_number": "919-735-6936",
            "fax_number": "919-735-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341726",
            "telephone_number": "919-735-6936",
            "fax_number": "919-735-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WANDA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "COF,CMF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NC",
            "license": "7795203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795203",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Taylor Smith, NP-C
• Michael Loren Smith, PHYSICAL THERAPIST
• Passion Smith
• Stephanus Christiaan Smith, RPH
• Vernetta Lugene Smith, LPC
• Dylan Douglas Smitka, DC
• Mary Deborah Snyder, WHNP
• Matthew Michael Sochat, M.D.
• Solay Counseling & Research Center, P. C.
• Cailey Anne Solomon, PA-C

• Orthotic Fitter in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Orthotic Fitter in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.