Lisa Smith

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-05-2391 Issued in FL

Practice address

209 E Gordon Ave
Layton, UT 84041-2341

Phone

(801) 573-4832

NPI assigned

Feb 1, 2010

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": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1750613824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 W 3775 N",
            "city": "PLEASANT VIEW",
            "state": "UT",
            "postal_code": "844143311",
            "telephone_number": "801-573-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E GORDON AVE",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412341",
            "telephone_number": "801-573-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-05-2391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Rebecca Smith, MPT
• Kimberly Smith
• Kimi Smith
• Kurtis Russell Smith, F.N.P.
• Lauryn Smith
• Marlene Smith
• Megan Patterson Smith, PT, DPT
• Meghan Alexandra Smith
• Melanie Smith
• Michelle Smith

• Behavior Analyst in Layton, UT
• Providers in Layton, UT by specialty
• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.