Betty Jean Smith, CMA

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

K5H2G6P4 Issued in MI

Practice address

20300 BL:Oom St
Detroit, MI 48234-2408

Phone

(313) 733-6018

NPI assigned

Aug 11, 2015

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

Credentials

Certified Medical Assistant

State licenses

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1821474040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20231 BLOOM ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482342408",
            "telephone_number": "313-320-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20300 BL:OOM ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482342408",
            "telephone_number": "313-733-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BETTY",
        "middle_name": "JEAN",
        "credential": "CMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MI",
            "license": "K5H2G6P4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aniah Smith
• Annabelle Rose Smith
• Antonio Smith, M.D.
• Barney Elbert Smith, B.S.
• Benjamin Smith Jr., LLBSW
• Brad Smith, CRNA
• Bradley Smith
• Brenda Smith
• Brenda K Smith
• Bridgett Smith

• Home Health Aide in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.