Audrey Rowell Smith

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3954 Issued in OH

Practice address

5326 Soldiers Home MSBG Rd
Miamisburg, OH 45342-1459

Phone

(937) 859-6398

Fax

(928) 244-2547

NPI assigned

Dec 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Audrey Vera Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1861676017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5326 SOLDIERS HOME MSBG RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453421459",
            "telephone_number": "937-859-6398",
            "fax_number": "928-244-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5326 SOLDIERS HOME MSBG RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453421459",
            "telephone_number": "937-859-6398",
            "fax_number": "928-244-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AUDREY",
        "middle_name": "ROWELL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "3954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "SMITH",
            "middle_name": "VERA",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracey J Slattery
• Emiliee Dawn Slone
• David Justin Smart
• Smiles at the Exchange
• Alyssa Smith, PHARMD RPH
• Brock Smith, PHARMD
• Danielle Marie Smith, CNP
• Robert T Smith, MD
• Tyra Smith, RBT
• Jennifer L Smyers, RPH

• Clinical Psychologist in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.