Lynette Weeks Smith, HCBS PROVIDER

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

691446296 Issued in FL

Practice address

3280 White Blossom LN
Clermont, FL 34711-6246

Phone

(352) 346-4630

Fax

(407) 347-7152

NPI assigned

Feb 7, 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

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1730833963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 374",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347550374",
            "telephone_number": "352-346-4630",
            "fax_number": "407-347-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 WHITE BLOSSOM LN",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116246",
            "telephone_number": "352-346-4630",
            "fax_number": "407-347-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LYNETTE",
        "middle_name": "WEEKS",
        "credential": "HCBS PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "691446296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691446296",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gmail",
            "affiliation": "N",
            "endpointDescription": ".com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "communication",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3280 White Blossom Ln",
            "city": "Clermont",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347116246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Claudia A Smith Todd, RN
• Amber Smith
• Ashley Marie Smith, PTA
• Gray Robert Smith, O.D.
• Kim R Smith, LMHC, LPC
• Madison Elizabeth Smith
• Matthew L Smith, M.D.
• Michelle Ann Smith, CBHT
• Murry Lee Alexander Smith, PHARMD
• Shyleah Smith

• Behavior Technician in Clermont, FL
• Providers in Clermont, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.