Stephanie Joellen Smith

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

211 E. Watts
Sallisaw, OK 74955

Phone

(918) 913-1809

NPI assigned

Dec 29, 2021

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 names 1

• Stephanie Joellen Wallis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1851051023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E. WATTS",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "74955",
            "telephone_number": "918-571-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E. WATTS",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "74955",
            "telephone_number": "918-913-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHANIE",
        "middle_name": "JOELLEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2023-10-27",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "WALLIS",
            "middle_name": "JOELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian Sitsler
• SMH Physician Group, LLC
• Florence Christine (Kris) Smith
• Laura Marie Smith
• Rebel Dawn Smith, ARNP
• Susan Smith
• Cynthia Kathleen Smyers-Litton
• Jennifer Luanne Spears, LPC
• Specialized Foster Home
• Hatti Lou Steeley

• Attendant Care Provider in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• Attendant Care Provider in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.