Active NPI
Tonya Michelle Smith
- Personal Care Attendant
- Washington, DC
National Provider Identifier
1689195331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 1040 Southern Ave SE
Washington, DC 20032-6042 - Phone
- (202) 563-1353
- NPI assigned
- Jul 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
1040 Southern Ave SE
Washington, DC 20032-6042
Mailing address
5915 Hil Mar Dr
Forestville, MD 20747-2976
Phone (301) 516-3367
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70787256 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499040000000",
"number": "1689195331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5915 HIL MAR DR",
"city": "FORESTVILLE",
"state": "MD",
"postal_code": "207472976",
"telephone_number": "301-516-3367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 SOUTHERN AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200326042",
"telephone_number": "202-563-1353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TONYA",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-03",
"last_updated": "2017-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "70787256",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.