TANISHA LEANNA SMITH DPM NPI 1316264187

NPI Information

NPI: 1316264187
Provider Name: TANISHA LEANNA SMITH, DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

PECOS Registration: Yes

Address:
5926 CRAWFORDSVILLE RD UNIT B
INDIANAPOLIS, IN
ZIP 46224
Phone: (317) 653-2730
Get Directions

Tanisha Leanna Smith, DPM is a primary podiatric medicine podiatrist in Indianapolis, IN with 17 years of experience. Tanisha Leanna Smith, DPM NPI is 1316264187. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2007

The provider's business location address is:

5926 CRAWFORDSVILLE RD UNIT B
INDIANAPOLIS, IN
ZIP 46224-722
Phone: (317) 653-2730
Fax: (317) 321-1935

The NPI 1316264187 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/3/2010 and was last updated on 6/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine	07001108A	INDIANA	Yes
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO 3402	FLORIDA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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