Trista Lavonne Smith, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT0000003028 Issued in TN

Practice address

835 E Poplar Ave
Hwy 64 Bypass
Selmer, TN 38375-1832

Phone

(731) 645-3201

Fax

(731) 645-4912

NPI assigned

May 2, 2007

Last updated

Jul 8, 2007By 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 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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992926117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 COUNTY ROAD 213",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346897",
            "telephone_number": "662-284-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 E POPLAR AVE",
            "address_2": "HWY 64 BYPASS",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751832",
            "telephone_number": "731-645-3201",
            "fax_number": "731-645-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRISTA",
        "middle_name": "LAVONNE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT0000003028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Paige Simpson, PHARM.D.
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• Jeri Smith, LMT
• Kinsee Marie Smith
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• Jessica Southers
• Sarah Stanfield, PHARMD
• Tyler Stanfield, PA
• State of Tennessee (McNairy County Health Department)

• Occupational Therapist in Selmer, TN
• Providers in Selmer, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.