MS. KIERSTEN M SMITH RADT NPI 1588285134

NPI Information

NPI: 1588285134
Provider Name: MS. KIERSTEN M SMITH, RADT
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Individual
Address:
808 AMADOR CT
LAKE ELSINORE, CA
ZIP 92530
Phone: (714) 331-5554
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MS. Kiersten M Smith, RADT is a substance abuse rehabilitation facility in Lake Elsinore, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MS. Kiersten M Smith, RADT NPI is 1588285134. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

808 AMADOR CT
LAKE ELSINORE, CA
ZIP 92530-862
Phone: (714) 331-5554

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

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	324500000X	Substance Abuse Rehabilitation Facility		R1364550919	CALIFORNIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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