Rebecca Smith

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

73 Laurel Lick Rd
Weston, WV 26452-7517

Phone

(304) 840-6032

NPI assigned

Mar 8, 2021

Last updated

Mar 8, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1730774175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 ROSE AVE",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263011764",
            "telephone_number": "304-840-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 LAUREL LICK RD",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264527517",
            "telephone_number": "304-840-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Brooke Skinner, PA-C
• Rebecca Skinner
• Justin David Smallridge, CRNA
• Jessica Ann Smith, CRNP
• Nicole Smith
• Thomas Robert Smith
• Tiffany Nicole Smith
• Vicki Lee Smith, CNM
• Joseph Akin Snead, MD
• Robert Snuffer, D.O.

• Community Health Worker in Weston, WV
• Providers in Weston, WV by specialty
• Community Health Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.