NPIMap

Organization Active NPI

Smith Family Healthcare, LLP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gallipolis, OH
National Provider Identifier
1750812293
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SMITH FAMILY HEALTHCARE, LLP
Practice address
254 Pinecrest Dr
Gallipolis, OH 45631-1347
Phone
(740) 578-4824
Fax
(740) 578-4821
NPI assigned
Mar 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Dianna Kay SmithNPI 1669440723
Title
Partner/Nurse Practitioner
Phone
(740) 578-4824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Multi-Specialty Clinic/Center 261QM1300X RN251827/NP06403 OH

Addresses

Primary practice location

254 Pinecrest Dr
Gallipolis, OH 45631-1347

Mailing address

254 Pinecrest Dr
Gallipolis, OH 45631-1347
Phone (740) 578-4824

Other identifiers 1

IdentifierTypeStateIssuer
0462140MedicaidOH

Other names 1

  • Smith Family Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170609001035 OH Part B Supplier - Clinic/Group Practice 3870861198 Receives reassigned benefits from 4 practitioners
Practice locations: Gallipolis, OH

National Provider Directory

National Provider Directory
Tax ID family
Smith Family Healthcare LLP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

254 Pinecrest Dr
Gallipolis, OH 45631
Phone (740) 578-4824

995 Jackson Pike
Ste 102
Gallipolis, OH 45631
Phone (304) 674-7278

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1750812293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 PINECREST DR",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311347",
            "telephone_number": "740-578-4824",
            "fax_number": "740-578-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 PINECREST DR",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311347",
            "telephone_number": "740-578-4824",
            "fax_number": "740-578-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH FAMILY HEALTHCARE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PARTNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "740-578-4824"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "OH",
            "license": "RN251827/NP06403",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0462140",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gallipolis, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.