Sydney Cascade Smith, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAS-3344 Issued in ID

Practice address

16150 N High Desert St Ste 112
Nampa, ID 83687-5567

Phone

(208) 442-1123

NPI assigned

Mar 1, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Oberti Chiropractic Inc

  • Chiropractor
  • Nampa, ID
  • NPI 1780074856
  NPD

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1689320517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 N MITCHELL ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044173",
            "telephone_number": "907-388-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 N HIGH DESERT ST STE 112",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875567",
            "telephone_number": "208-442-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SYDNEY",
        "middle_name": "CASCADE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-3344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY LICENSE",
            "identifier": "MAS-3344",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "chirotouch",
            "affiliation": "N",
            "endpointDescription": "soap information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16150 N High Desert St Ste 112",
            "city": "Nampa",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836875567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mitchell Thomas Smith, MS, LPC
• Nichole Leann Smith, CPT
• Preston S Smith, PA-C
• Quinn J Smith, DMD
• Samantha Lakey Smith, DPT
• Taylor Daisy Smith
• Alicia Smylie, L.M.T.
• Brian Doxey Snow, D.O.
• E. Fred Snow, LCPC
• Kendra Snow, MS CCC-SLP

• Massage Therapist in Nampa, ID
• Providers in Nampa, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.