Kileen Mary Smith

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

731 Pre Emption Rd
Geneva, NY 14456-1335

Phone

(315) 789-6828

Fax

(315) 789-7750

NPI assigned

Jan 13, 2011

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

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1972808566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 PRE EMPTION RD",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561335",
            "telephone_number": "315-789-6828",
            "fax_number": "315-789-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 PRE EMPTION RD",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561335",
            "telephone_number": "315-789-6828",
            "fax_number": "315-789-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KILEEN",
        "middle_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Jane Skalyo, DDS
• Michael T Skelly, D.P.T.
• Cynthia Skovrinski, FNPC MS
• Amber Lynn Sliski, L.P.N.
• Virgil W Smaltz, MD
• Lisa A Smith
• Margaret M Smith, CRNA
• Brian Christopher Solomon, D.C.
• Spark Chiropractic Wellness PLLC
• Cody Donald Sponholz

• Early Intervention Provider Agency in Geneva, NY
• Providers in Geneva, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.