Keyja Duval Smith

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

316 Issued in SC

Practice address

1905 Duke St
Beaufort, SC 29902-4403

Phone

(843) 255-6000

NPI assigned

Nov 9, 2018

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

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1669940490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1228",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299011228",
            "telephone_number": "843-255-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 DUKE ST",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299024403",
            "telephone_number": "843-255-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEYJA",
        "middle_name": "DUVAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD61BE",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Kem Smalheiser, NP-C, ANP-BC, CCRN
• Isiah Smalls II
• Smiles by Wyles, LLC
• Anthony William Smith, PHARM.D.
• Heather Noel Smith
• Mark Philip Smith, MD
• Peter R Smith, DMD
• Raymond Glenn Smith, IDC
• Robert David Smith
• Ruth Ann Smith

• Addiction (Substance Use Disorder) Counselor in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.