Angela Smith, CNA-PCT

Primary specialty

ContractorTaxonomy code 171W00000X

License

CN000003210 Issued in GA

Practice address

474 Roy Huie Rd
Riverdale, GA 30274-1826

Phone

(770) 709-1741

NPI assigned

Dec 6, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1891063707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 ROY HUIE RD",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302741826",
            "telephone_number": "770-709-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 ROY HUIE RD",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302741826",
            "telephone_number": "770-709-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANGELA",
        "credential": "CNA-PCT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": "CN000003210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Marie Skipper
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• Ann L Smith, MSW
• Carla Smith
• Chantal Smith, LMT
• Natasha Smith, MD
• Sheila Eloise Smith, MEDICAL ASSISTANT

• Contractor in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.