Loretta Smith

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Practice address

804 Anita St
Fort Pierce, FL 34982-4006

Phone

(954) 263-6462

NPI assigned

Oct 11, 2023

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Coastal Quality Assisted Living, LLC

  • Assisted Living Facility
  • Fort Pierce, FL
  • NPI 1215765615
  NPD Authorized official
• Heart and Harvest Meals LLC

  • Meals Provider
  • Fort Pierce, FL
  • NPI 1265380349
  NPD

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1760263198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 NW 17TH CT",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330605147",
            "telephone_number": "754-422-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 ANITA ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349824006",
            "telephone_number": "954-263-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LORETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cql@coastalqualityalf.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "804 Anita St",
            "city": "Fort Pierce",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349824006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• April Cassandra Smith, RN
• Cathy Lynn Smith, APRN
• Clayton James Smith
• Katrina Smith, DC
• Linda Smith
• Patricia A Smith, RRT
• Rachel Smith
• Shawna Smith, BS
• Spencer Smodish, DO
• Wendy Renee Snelling, OTR

• Assisted Living Facility in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.