Deniece Smith, NTP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

170072 Issued in GA

Practice address

132 Shellbark Dr
McDonough, GA 30252-1606

Phone

(678) 481-7454

NPI assigned

Jan 14, 2021

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": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1922697937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 SHELLBARK DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302521606",
            "telephone_number": "678-481-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 SHELLBARK DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302521606",
            "telephone_number": "678-481-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DENIECE",
        "credential": "NTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "170072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Smith
• Ariel Smith
• Autumn Smith
• Daphene Smith, PA
• Deja Smith
• John Darrell Smith, MD
• Jose Thomas Smith, M.D.
• Kendolyn Smith, PHARMD, MPH
• Kenneth R Smith
• Nacole Smith

• Registered Nurse in McDonough, GA
• Providers in McDonough, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.