Betty Kimbler Smith

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

T65015991 Issued in VA

Practice address

1401 Veterans Memorial Highway
Gate City, VA 24251-2425

Phone

(276) 594-2064

Fax

(276) 452-1974

NPI assigned

Jul 31, 2019

Last updated

Jul 31, 2019By the provider in NPPES

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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1790339398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1770",
            "city": "GATE CITY",
            "state": "VA",
            "postal_code": "242511770",
            "telephone_number": "276-594-2064",
            "fax_number": "276-594-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 VETERANS MEMORIAL HIGHWAY",
            "city": "GATE CITY",
            "state": "VA",
            "postal_code": "242512425",
            "telephone_number": "276-594-2064",
            "fax_number": "276-452-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BETTY",
        "middle_name": "KIMBLER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "VA",
            "license": "T65015991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott County Schools
• Karen Short
• Brack Edward Slate, PHARMACIST
• Andrew Christopher Harrison Slemp, LPC
• Katrina Rhenea Smith-Toole, ED.S/ M.ED
• Kellie Dorton Smith
• Lester Earl Smith Sr.
• Lester Earl Smith Jr.
• Roderick Malcolm Smith
• Southwest Virginia Child Development Services

• Private Vehicle in Gate City, VA
• Providers in Gate City, VA by specialty
• Private Vehicle in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.