What is SMARTAGE LLC's NPI number?

The NPI number assigned to this healthcare provider is 1336674258, enumerated as a organization on April 28, 2017.

Where is the provider located?

The provider is located at 16216 BAXTER RD SUITE 100 CHESTERFIELD, MO 63017 and the phone number is (636) 449-4700.

What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

SMARTAGE LLC - NPI 1336674258 - Licensed Practical Nurse in Chesterfield, MO

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About Smartage Llc NPPES

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

SMARTAGE LLC (NPI 1336674258) is a healthcare organization registered as a licensed practical nurse in Chesterfield, Missouri and active in the NPI registry since April 2017. The organization lists Judith Stith, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1336674258

Entity TypeOrganization

Primary Taxonomy164W00000X

Legal Business NameSMARTAGE LLC

Location Address16216 BAXTER RD, SUITE 100Chesterfield, MO 63017-4770

Mailing Address16216 Baxter Road, Suite 100Chesterfield, MO 63017 · (636) 449-4700 · Fax (636) 449-2595

Phone(636) 449-4700

Fax(636) 449-2595

Organization SubpartNo

Authorized OfficialJudith StithOwner/operator · (636) 449-4700

Enumeration DateApril 28, 2017

✔ NPI 1336674258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MO · 101659

Definition

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.

16216 BAXTER RD, Chesterfield, MO 63017

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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