Keith Earl Smith, OTR L

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

2603 Issued in NC

Practice address

2600 Old Cherry Point Rd
New Bern, NC 28560-6778

Phone

(252) 637-4730

NPI assigned

May 30, 2008

Last updated

May 30, 2008By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1679731186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3597",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285643597",
            "telephone_number": "252-883-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 OLD CHERRY POINT RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285606778",
            "telephone_number": "252-637-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEITH",
        "middle_name": "EARL",
        "credential": "OTR L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "2603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamilah Smith
• Jennifer Louise Smith, M.D.
• John Matthew Smith, MD
• Justina Smith
• Kathryn B. Smith
• Kristen Smith, PT, DPT
• Lindsey Noelle Smith, MA/CCC-SLP
• Lysesha R Smith
• Mark S Smith
• Natalie Burns Smith, PA

• Nursing Facility/Intermediate Care Facility in New Bern, NC
• Providers in New Bern, NC by specialty
• Nursing Facility/Intermediate Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.