Rolanda M Smith

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ROLANDA M SMITH

Doing business as

R A W Professional Services

Practice address

430 E 162ND St Ste 430
South Holland, IL 60473-2258

Phone

(708) 201-0058

Fax

(888) 646-5822

NPI assigned

Oct 15, 2007

Last updated

Aug 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Rolanda M Smith

Title

Developmental Therapist

Phone

(708) 201-0058

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• R A W Professional Services Doing business as

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1922297050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E 162ND ST STE 430",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732258",
            "telephone_number": "708-201-0058",
            "fax_number": "888-646-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E 162ND ST STE 430",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732258",
            "telephone_number": "708-201-0058",
            "fax_number": "888-646-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLANDA M SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROLANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "708-201-0058",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000444156276201",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R A W Professional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deanna Roberts, LCPC
• Emmett James Robinson III, M.D.
• Imani D Robinson
• Michelle Rodgers
• Cornelius Rogers, M.D.
• Ronald J. Waryjas, DDS, LTD.Ar
• Eniola Rone
• Donna Yudora Roundtree, OTR
• Mary L Rozewicki
• Morgan Ruffin

• Early Intervention Provider Agency in South Holland, IL
• Providers in South Holland, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.