Cassidy Smith

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2958 Kalei Rd
Honolulu, HI 96826-1801

Phone

(760) 914-2872

NPI assigned

Jun 5, 2018

Last updated

Jun 5, 2018By the provider in NPPES

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

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1902398977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2958 KALEI RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2958 KALEI RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261801",
            "telephone_number": "760-914-2872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1337 Lower Campus Rd",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968222352",
            "country_code": "US",
            "telephone_number": "808-956-7144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CASSIDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smith Family Wellness, LLC
• Alice Boyd Smith, MD
• Blake Andrew Smith, M.D.
• Blaze Smith, ATC
• Bryan C Smith, M.D.
• Charles Smith, D.C.
• Christopher Bernard Smith, B.A.
• Cortney Joyce Smith, ATC
• Damian Edward Smith, D.C.
• Daniel C. Smith, M.D.

• Athletic Trainer in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Athletic Trainer in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.