EBONI TAKENDRIA SMITH
NPI 1063896686
Case Manager/Care Coordinator in Memphis, TN

Q: What is Eboni Smith's NPI number?

The NPI number for Eboni Smith is 1063896686. It was assigned to this individual provider in the NPPES registry on July 14, 2015.

Q: What is Eboni Smith's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Eboni Smith was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 14, 2015

3993 SHINAULT LN, MEMPHIS, TN 38125(901) 857-9107 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Eboni Takendria Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONI TAKENDRIA SMITH (NPI 1063896686) is an individual case manager/care coordinator provider in Memphis, Tennessee, licensed in Tennessee (47 4445545) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1063896686

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameEBONI TAKENDRIA SMITH

Location Address3993 SHINAULT LNMemphis, TN 38125-2649

Mailing Address3993 Shinault LaneMemphis, TN 38125 · (901) 857-9107

Phone(901) 857-9107

Sole ProprietorYes

Enumeration DateJuly 14, 2015

✔ NPI 1063896686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in TN · 47 4445545

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

3993 SHINAULT LN, Memphis, TN 38125

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Other Identifiers 1

Other47 4445545TN · Ein Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eboni Smith's NPI number?

The NPI number for Eboni Smith is 1063896686. It was assigned to this individual provider in the NPPES registry on July 14, 2015.

Where is Eboni Smith located?

Eboni Smith practices at 3993 Shinault Ln, Memphis, TN 38125. The listed phone number is (901) 857-9107.

What is Eboni Smith's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Eboni Smith was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.