Donnissa Smith, THE BEAUTY THRONE

Primary specialty

SpecialistTaxonomy code 174400000X

License

COS-HA-10154523 Issued in OR

Practice address

117 SE 129TH Ave
Portland, OR 97233-1503

Phone

(971) 806-9549

NPI assigned

Mar 27, 2019

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

State licenses

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1770044281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SE 129TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331503",
            "telephone_number": "971-806-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SE 129TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331503",
            "telephone_number": "971-806-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DONNISSA",
        "name_prefix": "Mrs.",
        "credential": "THE BEAUTY THRONE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "COS-HA-10154523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana L Smith
• Diana Louise Smith, CNM, WHNP
• Diane K. Smith, RD
• Donea Smith
• Donna Smith, M.A.
• Dora J Smith, QMHA
• Doyal Dean Smith Jr., CADC-1
• Drew Smith
• Dylan Francis Smith
• Elenie L Smith, CNM, NP, NMNP PP

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.