Denise Rae Smith, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP4313 Issued in NM

Practice address

3028 Camino Real
Las Cruces, NM 88001-7575

Phone

(575) 649-0185

NPI assigned

Jul 2, 2007

Last updated

Mar 26, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Albuquerque Speech Language and Hearing Center

  • Speech-Language Assistant
  • Albuquerque, NM
  • NPI 1720093503
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648252800000",
    "number": "1942407911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 CAMINO REAL",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880017575",
            "telephone_number": "575-649-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 CAMINO REAL",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880017575",
            "telephone_number": "575-649-0185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Montgomery Blvd NE Ste 215",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871112579",
            "country_code": "US",
            "telephone_number": "505-247-2442 x240",
            "fax_number": "505-247-1772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DENISE",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "C4135",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SLP4313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.advancedmedicalspeechpathology.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Contact info",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Contact info",
            "address_1": "3028 Camino Real",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880017575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Smileverse Dental
• Hylas Emmett Smiley, MD
• Amani Smith
• Andrea Paige Smith
• Briana Smith, CNP
• Emily Jean Smith
• Felicity Smith, PT
• Henry Soto Smith, FOSTER PARENT
• Janine Anne Smith, MS, LMFT
• Jason Smith

• Speech-Language Pathologist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; 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.