Lynette Anne Smith, ADT 2477

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

93-2018402 Issued in MD

Practice address

3330 Saint Ambrose Ave
Baltimore, MD 21215-6311

Phone

(202) 985-9536

NPI assigned

Jun 22, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1902582273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 SAINT AMBROSE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212156311",
            "telephone_number": "202-985-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 SAINT AMBROSE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212156311",
            "telephone_number": "202-985-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LYNETTE",
        "middle_name": "ANNE",
        "credential": "ADT 2477",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "932018402",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "93-2018402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Letonya Maria Smith, C.R.N.P.
• Lolita Maria Smith, ACUPUNCTURIST
• Loretta Smith
• Lottie Smith
• Lucy Smith
• Madeleine Smith, MD
• Malisa Smith
• Margaret Mary Smith, RN
• Marissa Anne Smith
• Marjorie F Smith, PHARMD

• Community/Behavioral Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.