Krista Smith in Brandon - Developmental Therapist
Krista Smith - NPI 1821164088
Krista Smith is a Developmental Therapist in Brandon, Florida. Krista Smith practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Krista Smith is 1821164088. The last update date is 2011-02-17.
Krista Smith's current location address is 602 Vonderburg Dr, Brandon, Florida. You can contact this provider via phone number 8136531149 and fax number 8136546644. The mailing address for Krista Smith is 602 Vonderburg Dr, Brandon, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Krista Smith |
|---|---|
| Address | 602 Vonderburg Dr, Brandon, Florida |
| Phone Number | 8136531149 |
| Fax Number | 8136546644 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1821164088 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2011-02-17 |
Provider Mailing Address Detail
| Address | 602 Vonderburg Dr |
|---|---|
| City | Brandon |
| State | Florida (FL) |
| Post Code | 335115900 |
| Phone Number | 8136531149 |
| Fax Number | 8136546644 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
|
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 886998700 | FL | -- | |
| S2649 | FL | BCBS OF FLORIDA | |
| 671100 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Krista Smith by the Centers for Medicare & Medicaid Services?
The Krista Smith has been assigned the NPI (National Provider Identifier) 1821164088 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Krista Smith?
The Krista Smith is physically situated at 602 Vonderburg Dr, in the city of Brandon, state of FL, with the postal code 335115900.
What is Krista Smith's specialized field of practice, and what is the corresponding taxonomy classification code?
The Krista Smith's area of specialization is Developmental Therapist, and the corresponding taxonomy code that categorizes this field of practice is 222Q00000X.
When did the Krista Smith receive its 1821164088?
The Krista Smith was issued its 1821164088 on 2006-11-28, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Krista Smith most recently updated or revised?
The details related to Krista Smith, including its address, specialty, and other relevant information, were last updated or revised on 2011-02-17.
NPI Number: 1104829308
Address: 1009 North State Of Franklin Access Road, Johnson City, TN