Tree of Life Integrative Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TREE OF LIFE INTEGRATIVE FAMILY MEDICINE, LLC

Practice address

200 New Rd
Linwood, NJ 08221-1306

Phone

(609) 354-5553

Fax

(609) 438-7216

NPI assigned

Aug 13, 2020

Organization subpart

No

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

Authorized official

Name

Shakeilla Lavern Smithbey, MDNPI 1205118361

Title

Owner

Phone

(609) 354-5553

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22650/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shakeilla Lavern Smithbey, M.D.

  • Family Medicine Physician
  • Magnolia, TX
  • NPI 1205118361
  NPD Authorized official

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1831700715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 OLD MARLTON PIKE W",
            "address_2": "PMB 752",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NEW RD",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211306",
            "telephone_number": "609-354-5553",
            "fax_number": "609-438-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE INTEGRATIVE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "SMITHBEY",
        "authorized_official_first_name": "SHAKEILLA",
        "authorized_official_middle_name": "LAVERN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-354-5553",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "7329312667",
            "affiliation": "N",
            "endpointDescription": "Cell (ok to text)",
            "address_1": "1200 Little Gloucester Rd Apt 1315",
            "city": "Clementon",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080215874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Medicine Physician in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.