Active NPI
Angela D. Smith, MHPP, MS
- Case Manager/Care Coordinator
- Clarksville, AR
National Provider Identifier
1790114304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1021 E Poplar St
Clarksville, AR 72830-4428 - Phone
- (479) 970-3694
- NPI assigned
- Nov 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1021 E Poplar St
Clarksville, AR 72830-4428
Mailing address
140 Mariwood LN
Dover, AR 72837-8187
Phone (479) 970-9421
Other names 1
- Angie Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1790114304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 MARIWOOD LN",
"city": "DOVER",
"state": "AR",
"postal_code": "728378187",
"telephone_number": "479-970-9421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 E POPLAR ST",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728304428",
"telephone_number": "479-970-3694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ANGELA",
"middle_name": "D.",
"credential": "MHPP, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGIE",
"last_name": "SMITH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Clarksville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.