Bridget Smith

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

OTA.05244 Issued in OH

Practice address

464 James Way
Marion, OH 43302-7860

Phone

(740) 751-4864

NPI assigned

Nov 15, 2013

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": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1972933695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29892 STATE ROUTE 37",
            "city": "RICHWOOD",
            "state": "OH",
            "postal_code": "433449307",
            "telephone_number": "330-979-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 JAMES WAY",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027860",
            "telephone_number": "740-751-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIDGET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OH",
            "license": "OTA.05244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Smallwood, M.D.
• Kimberly Ann Smeltzer, PSY.D.
• Alexia Kaye Smith
• April Smith, LPCC-S, LICDC-CS
• Ashlee Nichole Smith
• Brock Smith, QMHS CMS
• Erica L Smith, PT
• Howard M Smith Jr.
• Julie Smith, LPN
• Mickey Smith

• Community Health Worker in Marion, OH
• Providers in Marion, OH by specialty
• Community Health Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.