Veretta Azlie Smith

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1 W Owens Ave
North Las Vegas, NV 89030-6865

Phone

(702) 385-0072

NPI assigned

Sep 19, 2015

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

Other names 1

• Veretta Azlie Carey-Looney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Shade Tree Inc

  • Social Worker
  • North Las Vegas, NV
  • NPI 1073936639
  NPD (past)

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

{
    "created_epoch": "1442620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442620800000",
    "number": "1891164877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 GRASS MEADOWS DR",
            "address_2": "146",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891422874",
            "telephone_number": "702-469-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W OWENS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306865",
            "telephone_number": "702-385-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VERETTA",
        "middle_name": "AZLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-19",
        "last_updated": "2015-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERETTA",
            "last_name": "CAREY-LOONEY",
            "middle_name": "AZLIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samuel Smith
• Sarah Smith
• Tabitha J Smith
• Taishana M Smith
• Tammie Smith
• Verona Cain Smith
• Whitney Smith
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #361)
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #334)
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #345)

• Behavior Analyst in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2015; 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.