Danita Smith, RN

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

224 N Highway 67 St
Suite 252
Florissant, MO 63031-5904

Phone

(314) 942-3272

Fax

(314) 584-2205

NPI assigned

Jan 10, 2017

Last updated

Nov 17, 2021By 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 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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

• My Blooming Health Lab, Inc

  • Clinical Laboratory Director (Non-physician)
  • Saint Louis, MO
  • NPI 1841945680
  NPD Authorized official
• My Blooming Health Mobile, LLC

  • Clinical Medical Laboratory
  • Saint Louis, MO
  • NPI 1205272788
  NPD (past) Authorized official

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1821534298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 WOODSON RD STE 204A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145697",
            "telephone_number": "314-942-3272",
            "fax_number": "314-584-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N HIGHWAY 67 ST",
            "address_2": "SUITE 252",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315904",
            "telephone_number": "314-942-3272",
            "fax_number": "314-584-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANITA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2021-11-17",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": null,
            "primary": true
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MO",
            "license": "152662",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1080096",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.Mybloominghealth.com",
            "affiliation": "N",
            "address_1": "2040 Woodson Rd # 204A",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631145697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sleep Studio of St. Louis
• Karen Slinkard, PTA
• Frankie Small-Woods
• Smiles Dental LLC
• Carolyn Ann Smith
• Jessica Smith, MD
• Kristin Nicole Smith, DNP, FNP-C
• Leeaura Smith
• Mariah Nicole Smith, LMSW
• Melissa Smith

• Clinical Medical Laboratory in Florissant, MO
• Providers in Florissant, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.