STEPHANIE SMITH
NPI 1033576970
Specialist in Detroit, MI

Active since January 22, 2016
16203 MADDELEIN ST, DETROIT, MI 48205(404) 934-5110 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 17, 2024, Jan 22, 2016 (2 updates tracked since 2016).

  • Individual
  • Female
  • Specialist

About STEPHANIE SMITH

This page provides the complete NPI Profile along with additional information for Stephanie Smith, a provider established in Detroit, Michigan with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1033576970 assigned on January 2016. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1033576970 Verify this NPI
Provider Name
STEPHANIE SMITH
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
16203 MADDELEIN ST DETROIT, MI 48205
Location Phone
(404) 934-5110
Mailing Address
16203 MADDELEIN ST DETROIT, MI 48205
Mailing Phone
(404) 934-5110
Is Sole Proprietor?
Yes
Enumeration Date
01-22-2016
Last Update Date
06-17-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251E00000XAgencies

Home Health

 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033576970, enumerated as an "individual" on January 22, 2016.

The provider is located at 16203 MADDELEIN ST DETROIT, MI 48205 and the phone number is (404) 934-5110.

Specialist with taxonomy code 174400000X.