Teresa Lee Smith, RADIOLOGY TECH

Primary specialty

Mammography Radiologic TechnologistTaxonomy code 2471M2300X

License

367815 Issued in NU

Practice address

East Highway 18
Pine Ridge, SD 57770

Phone

(605) 867-3083

Fax

(605) 867-3364

NPI assigned

Jun 18, 2008

Last updated

Jun 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1942461371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1201",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "577701201",
            "telephone_number": "605-867-3083",
            "fax_number": "605-867-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EAST HIGHWAY 18",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "57770",
            "telephone_number": "605-867-3083",
            "fax_number": "605-867-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TERESA",
        "middle_name": "LEE",
        "credential": "RADIOLOGY TECH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "NU",
            "license": "367815",
            "primary": false
        },
        {
            "code": "2471M2300X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Mammography",
            "state": "NU",
            "license": "367815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Michael Sarchet, PHARMD
• Norma Nannette Savoy
• Patricia Ann Shangreaux, RN
• Casey Sharp
• Alice Christina Sierra, RN
• Todd N Smith, DPM
• Marcie Levon Sprague, CSW, LAC
• Jackalyn Spry
• Heidi Lynn Stands, RN
• Jody Lynn Stanley, RN

• Radiologic Technologist in Pine Ridge, SD
• Providers in Pine Ridge, SD by specialty
• Radiologic Technologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.