Individual provider Active NPI

Daijah Marie Smith, CD, CPSW, MHFA, CHW

  • Peer Specialist
  • Albuquerque, NM
National Provider Identifier
1750144937
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
300 Central Ave SW Ste 1500E
Albuquerque, NM 87102-3293
Phone
(505) 369-1731
NPI assigned
Feb 1, 2024
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NM Primary

Addresses

Primary practice location

300 Central Ave SW Ste 1500E
Albuquerque, NM 87102-3293

Mailing address

9500 Osuna Rd NE Apt 1014
Albuquerque, NM 87111-2291
Phone (505) 572-5652

Other practice location 1

9500 Osuna Rd NE Apt 1014
Albuquerque, NM 87111-2291
Phone (806) 332-5218

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women in Leadership New Mexico Inc CurrentSince Feb 4, 2024 Accepting new patients
Women in Leadership New Mexico Inc Peer Specialist CurrentSince Feb 4, 2024 Accepting new patients

Locations

300 Central Ave SW
Ste 1500E
Albuquerque, NM 87102
Phone (505) 369-1731

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1750144937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 OSUNA RD NE APT 1014",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112291",
            "telephone_number": "505-572-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTRAL AVE SW STE 1500E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023293",
            "telephone_number": "505-369-1731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Osuna Rd NE Apt 1014",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871112291",
            "country_code": "US",
            "telephone_number": "806-332-5218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAIJAH",
        "middle_name": "MARIE",
        "credential": "CD, CPSW, MHFA, CHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.