Donita Smith

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

403022 Issued in MD

Practice address

12603 Thrush PL
Upper Marlboro, MD 20772-5281

Phone

(301) 836-2264

NPI assigned

Apr 16, 2024

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": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1972357937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12603 THRUSH PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725281",
            "telephone_number": "301-836-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12603 THRUSH PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725281",
            "telephone_number": "301-836-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DONITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MD",
            "license": "403022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Michael Smith, M.D.
• Beverly R Smith, NCC, LCPC, LPC
• Bonita Smith, LCPC
• Camilla Sarah Smith, LICSW
• Diane Caryl Smith, PHARMD
• Elaine Melissa Smith, CRNP
• Eric W. Smith, PTA
• Givonshy Smith
• Jeffrey Smith
• Jennifer Maria Smith

• Prosthetic/Orthotic Supplier in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Prosthetic/Orthotic Supplier in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.