McKenzie Nicole Smith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

134407425 Issued in TN

Practice address

810 Shoney Dr SW Ste 115
Huntsville, AL 35801-5450

Phone

(931) 993-2249

NPI assigned

Sep 28, 2021

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1750052874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 OLD BAPTIST RD",
            "city": "ARDMORE",
            "state": "TN",
            "postal_code": "384493022",
            "telephone_number": "931-993-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SHONEY DR SW STE 115",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015450",
            "telephone_number": "931-993-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MCKENZIE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": "134407425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Smith
• Kelley Wade Smith, M. D.
• Kelly Smith, OTR/L
• Lenora Smith, CRNP
• Mary Elizabeth Smith, DMD
• Melissa Anne Galkowski Smith, PT
• Meoshee M Smith
• Michael David Smith, M.D.
• Natalie Smith, LMFT
• Nathan Larry Smith, DO

• Behavior Technician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Behavior Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.