Malesa Renea Smyth

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

537843 Issued in TX

Practice address

12018 Woodsrim St
Live Oak, TX 78233-4243

Phone

(210) 392-9782

NPI assigned

Feb 20, 2018

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1912407412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12018 WOODSRIM ST",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782334243",
            "telephone_number": "210-392-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12018 WOODSRIM ST",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782334243",
            "telephone_number": "210-392-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYTH",
        "first_name": "MALESA",
        "middle_name": "RENEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "537843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christen Samira Smith, PA-C
• Jessica Smith, BCBA, LBA
• Katelyn J Smith, PT
• Lesley Lanier Smith, LPC-S
• Tonya Smith
• Jennifer Andrea Solis, NP-C
• Ismael Tres Sosa, MD
• Southern Texas Heart and Vascular Clinic, PLLC
• SP Dental Group PLLC
• Spcsa PLLC (Spine and Pain Center of San Antonio)

• Home Health Registered Nurse in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Home Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.