Valerie A Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36405 Issued in MO

Practice address

500 Russell St
Kennett, MO 63857-2102

Phone

(573) 717-1332

Fax

(573) 717-1335

NPI assigned

Jul 13, 2006

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Poplar Bluff Regional Medical Center LLC

  • General Acute Care Hospital
  • Poplar Bluff, MO
  • NPI 1700831724
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1821013400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MAIN ST",
            "address_2": "P.O. BOX 400",
            "city": "NEW MADRID",
            "state": "MO",
            "postal_code": "638691942",
            "telephone_number": "573-748-2404",
            "fax_number": "573-748-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUSSELL ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638572102",
            "telephone_number": "573-717-1332",
            "fax_number": "573-717-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VALERIE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "36405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Edward Smith
• Natausha Nacole Smith, PMHNP-BC
• Noah Smith
• Susie Louise Smith
• Teresa A Smith, ADA COUNSLER TRANIEE
• Valerie Marie Smith
• Eric Snipes, LPC
• Wuthisak Soonattrakul
• Soporex DME, Inc.
• Southaven Inc

• Family Medicine Physician in Kennett, MO
• Providers in Kennett, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.