MONQUENETTE VESHA WALTERS SMITH
NPI 1144709312
Specialist - Prosthetics Case Management in Stockton, CA

Active since August 08, 2018
216 W HARDING WAY, STOCKTON, CA 95204(209) 456-4697 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Monquenette Vesha Walters Smith NPPES

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

MONQUENETTE VESHA WALTERS SMITH (NPI 1144709312) is an individual prosthetics case management provider in Stockton, California, licensed in California (KK261564) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1144709312
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameMONQUENETTE VESHA WALTERS SMITH
Location Address216 W HARDING WAYStockton, CA 95204-5607
Mailing Address216 W Harding WayStockton, CA 95204-5607 · (209) 456-4697
Sole ProprietorYes
Enumeration DateAugust 8, 2018
NPI 1144709312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
License Licensed in CA · KK261564
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
216 W HARDING WAY, Stockton, CA 95204

Other Names 1

Professional Name (2)Monquenette Vesha Walters Smith

Other Identifiers 1

Medicaid30-0730025CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Monquenette Walters Smith's NPI number?

The NPI number for Monquenette Walters Smith is 1144709312. It was assigned to this individual provider in the NPPES registry on August 8, 2018. The provider is also known as Monquenette Vesha Walters Smith.

Where is Monquenette Walters Smith located?

Monquenette Walters Smith practices at 216 W Harding Way, Stockton, CA 95204. The listed phone number is (209) 456-4697.

What is Monquenette Walters Smith's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Monquenette Walters Smith was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.