Sheridan Smith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7541 Foxtrot CT
Elk Grove, CA 95624-9392

Phone

(916) 208-0541

NPI assigned

Apr 17, 2018

Sex

Male

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

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1750878591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7541 FOXTROT CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7541 FOXTROT CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249392",
            "telephone_number": "916-208-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHERIDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia D Smith, LVN
• Paula R Smith, PH.D.
• Raymond Harry Smith Jr., M.S.,P.P.S.,M.F.T.
• Sandra Smith
• Sharron Smith
• Solomon A Smith, MENTAL HEALTH TECH
• Tanya Lashon Smith, MBA
• Sean Smylie
• Grace Snider
• Hailey Snyder

• Behavior Technician in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.