Organization Active NPI

Smith Interactive Inc

  • Speech-Language Pathologist
  • Rio Rancho, NM
National Provider Identifier
1770125486
Registry record updated Oct 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SMITH INTERACTIVE INC
Practice address
6909 Augusta Hills Dr NE
Rio Rancho, NM 87144-8486
Phone
(505) 228-4522
NPI assigned
Oct 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2019

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

Authorized official

Name
Jennifer S Smith, M.A., CCC-SLP
Title
Speech-Language Pathologist
Phone
(505) 228-4522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

6909 Augusta Hills Dr NE
Rio Rancho, NM 87144-8486

Mailing address

6909 Augusta Hills Dr NE
Rio Rancho, NM 87144-8486
Phone (505) 228-4522

Other identifiers 1

IdentifierTypeStateIssuer
1336274133MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571443200000",
    "number": "1770125486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 AUGUSTA HILLS DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871448486",
            "telephone_number": "505-228-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 AUGUSTA HILLS DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871448486",
            "telephone_number": "505-228-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH INTERACTIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "505-228-4522",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336274133",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.