MR. THEODORE ROOSEVELT SMITH LPN
NPI 1144790627
Licensed Practical Nurse in Cincinnati, OH

Active since November 28, 2018
830 EZZARD CHARLES DRIVE, CINCINNATI, OH 45214(513) 381-6672 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Licensed Practical Nurse

About THEODORE SMITH

This page provides the complete NPI Profile along with additional information for Theodore Smith, a provider established in Cincinnati, Ohio with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1144790627 assigned on November 2018. The practitioner's primary taxonomy code is 164W00000X with license number LPN.168854.MEDS-IV (OH). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1144790627 Verify this NPI
Provider Name
MR. THEODORE ROOSEVELT SMITH LPN
Gender
Male
Entity Type
Individual
Location Address
830 EZZARD CHARLES DRIVE CINCINNATI, OH 45214
Location Phone
(513) 381-6672
Mailing Address
830 EZZARD CHARLES DR CINCINNATI, OH 45214
Mailing Phone
(513) 381-6672
Is Sole Proprietor?
Yes
Enumeration Date
11-28-2018
Last Update Date
11-28-2018
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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

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
LPN.168854.MEDS-IV
License State
OH
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144790627, enumerated as an "individual" on November 28, 2018.

The provider is located at 830 EZZARD CHARLES DRIVE CINCINNATI, OH 45214 and the phone number is (513) 381-6672.

Licensed Practical Nurse with taxonomy code 164W00000X.