Donny Smith
Individual provider Active NPI Peer Specialist · Tenino, WA
NPI 1881545010 · NPPES record last updated Feb 4, 2026
Key facts
- NPI
- 1881545010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 12011 Sanford St SE
Tenino, WA 98589-9445 - Phone
- (360) 984-0202
- NPI assigned
- Feb 4, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
12011 Sanford St SE
Tenino, WA 98589-9445
Mailing address
12011 Sanford St SE
Tenino, WA 98589-9445
Other providers in Tenino, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.