Sara Bonita Smith

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

227100 Issued in TX

Practice address

909 US Highway 80 E Apt 5305
Mesquite, TX 75150-5754

Phone

(469) 540-2376

NPI assigned

Aug 8, 2018

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1780163014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 US HIGHWAY 80 E APT 5305",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505754",
            "telephone_number": "469-540-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 US HIGHWAY 80 E APT 5305",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505754",
            "telephone_number": "469-540-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SARA",
        "middle_name": "BONITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "227100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cressan Smith, MS, LPC
• Hope Smith, CCC-SLP
• Kenchelle S Smith
• Khandice Chantee Smith
• Ronald K Smith, O.D.
• Susan Allen Smith
• Susan Banuelos Smith, MS RD LD CDE
• Snappy Lab Services
• Snoring and Sleep Apnea Wellness Center, LLC
• Jason Emmons Snyder, RPH

• Licensed Practical Nurse in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.