Active NPI
Manette Smith
- Behavior Technician
- Savannah, GA
National Provider Identifier
1740913821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-217829
- Practice address
- 17 Park of Commerce Blvd
Savannah, GA 31405-7436 - Phone
- (718) 215-5311
- NPI assigned
- Jul 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-217829 | GA | Primary |
Addresses
Primary practice location
17 Park of Commerce Blvd
Savannah, GA 31405-7436
Mailing address
1321 Murfreesboro Pike Ste 702
Nashville, TN 37217-2679
Phone (615) 361-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-217829 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1740913821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 MURFREESBORO PIKE STE 702",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372172679",
"telephone_number": "615-361-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 PARK OF COMMERCE BLVD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314057436",
"telephone_number": "718-215-5311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MANETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-06",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-22-217829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.