Dianne Vernalene Smith, M.S.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU1422 Issued in CA

Practice address

15034 Providence LN
North Hills, CA 91343-3477

Phone

(818) 773-9080

NPI assigned

Feb 2, 2007

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Procare Health Services, Inc.

  • Audiologist
  • North Hills, CA
  • NPI 1295873990
  NPD (past) Authorized official

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710025432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15034 PROVIDENCE LN",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433477",
            "telephone_number": "818-773-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15034 PROVIDENCE LN",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433477",
            "telephone_number": "818-773-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DIANNE",
        "middle_name": "VERNALENE",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU1422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0014220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SK Hospice Care, Inc.
• Lucy Dayana Sladek, M.A.
• Amanda Smith
• Cynthia Vanessa Smith
• Delores Smith, CAADE CATCI #6963
• Elizabeth Smith
• Monica Palma Smith, M.A.
• Kathryn Smyth, LCSW
• So-Cal Community Health Center
• Socal NP Medical Services, Inc

• Audiologist in North Hills, CA
• Providers in North Hills, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.