Individual provider Active NPI

Andrew J Smith, AUD

  • Audiologist
  • Kingston, RI
National Provider Identifier
1902930852
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
RI000125 Issued in RI
Practice address
25 W Independence Way
Suite I
Kingston, RI 02881-1124
Phone
(401) 874-9387
Fax
(401) 874-4404
NPI assigned
Mar 15, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X RI000125 RI Primary

Addresses

Primary practice location

25 W Independence Way
Suite I
Kingston, RI 02881-1124

Mailing address

25 W Independence Way
Suite I
Kingston, RI 02881-1124
Phone (401) 874-9387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RI000125RIMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902930852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W INDEPENDENCE WAY",
            "address_2": "SUITE I",
            "city": "KINGSTON",
            "state": "RI",
            "postal_code": "028811124",
            "telephone_number": "401-874-9387",
            "fax_number": "401-874-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W INDEPENDENCE WAY",
            "address_2": "SUITE I",
            "city": "KINGSTON",
            "state": "RI",
            "postal_code": "028811124",
            "telephone_number": "401-874-9387",
            "fax_number": "401-874-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "RI",
            "license": "RI000125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.