Devoe Smith Medical Foundation

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

DEVOE SMITH MEDICAL FOUNDATION

Doing business as

Devoe Smith Free Health Clinic
Devoe Smith Free Healthcare Clinic

Practice address

400 Galaxie Ave
Harrisonville, MO 64701-2077

Phone

(210) 317-1375

NPI assigned

May 26, 2023

Last updated

Oct 22, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sonja Jeanne Bolling, FNPNPI 1396150496

Title

Board Member/ Provider

Phone

(209) 352-1881

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• DEVOE SMITH FREE HEALTH CLINIC Doing business as
• DEVOE SMITH FREE HEALTHCARE CLINIC Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sonja Jeanne Bolling, APRN, FNP-C

  • Family Nurse Practitioner
  • Garden City, MO
  • NPI 1396150496
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1699468678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GALAXIE AVE",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647012077",
            "telephone_number": "888-652-4286",
            "fax_number": "888-710-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GALAXIE AVE",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647012077",
            "telephone_number": "210-317-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOE SMITH MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "BOLLING",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "BOARD MEMBER/ PROVIDER",
        "authorized_official_telephone_number": "209-352-1881",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER",
            "identifier": "1396150496",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396150496",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Practice Fusion",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Galaxie Ave",
            "city": "Harrisonville",
            "state": "MO",
            "country_code": "US",
            "postal_code": "647012077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "82 South State Highway F",
            "city": "Garden City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "647478125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DEVOE SMITH FREE HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DEVOE SMITH FREE HEALTHCARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DEVOE SMITH FREE HEALTHCARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deaconess Long Term Care of Missouri, Inc. (Golden Years)
• Lisa Deadmond, LVN
• Debi Ann Degraeve, PTA
• Devine Golden Home Healthcare Services LLC
• Devine Golden Years Home Healthcare Services LLC
• Leo Dickson, HCP
• Jamey Diehl, LPC
• Dignity Life Care LLC
• Nicola Lyn Dimarco, RPH
• Christopher Allen Dove, PT, DPT

• Urgent Care Clinic/Center in Harrisonville, MO
• Providers in Harrisonville, MO by specialty
• Urgent Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.