Individual provider Active NPI

Irving Hadden Smith III III, RRT

  • General Care Registered Respiratory Therapist
  • St Augustine, FL
National Provider Identifier
1811719339
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Care Registered Respiratory TherapistTaxonomy code 2279G1100X
License
RT21336 Issued in FL
Practice address
71 S Dixie Hwy Ste 4
St Augustine, FL 32084-4174
Phone
(904) 825-0022
Fax
(904) 508-0536
NPI assigned
Oct 28, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Care Registered Respiratory Therapist 2279G1100X RT21336 FL Primary
Registered Respiratory Therapist 227900000X RT21336 FL

Addresses

Primary practice location

71 S Dixie Hwy Ste 4
St Augustine, FL 32084-4174

Mailing address

408 Pheasant Rd
Satsuma, FL 32189-2338
Phone (386) 916-9106

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

State licenses

LicenseStateTypeSpecialty
RT21336FLMDGeneral Care Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1811719339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 PHEASANT RD",
            "city": "SATSUMA",
            "state": "FL",
            "postal_code": "321892338",
            "telephone_number": "386-916-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 S DIXIE HWY STE 4",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844174",
            "telephone_number": "904-825-0022",
            "fax_number": "904-508-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH III",
        "first_name": "IRVING",
        "middle_name": "HADDEN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "FL",
            "license": "RT21336",
            "primary": true
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "FL",
            "license": "RT21336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.