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SALETHA BRENETHA SMITH
NPI 1760710636
Pediatrics - Developmental - Behavioral Pediatrics in Fort Worth, TX

Active since December 03, 2009PECOS Enrolled
1300 W LANCASTER AVE STE 205, FORT WORTH, TX 76102(817) 336-8611 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 26, 2020, Apr 24, 2017 (2 updates tracked since 2017).

About Saletha Brenetha Smith NPPES

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

SALETHA BRENETHA SMITH (NPI 1760710636) is an individual developmental - behavioral pediatrics provider in Fort Worth, Texas, licensed in Texas (S8122) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760710636
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameSALETHA BRENETHA SMITH
Location Address1300 W LANCASTER AVE STE 205Fort Worth, TX 76102-3490
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (817) 336-8611
Phone(817) 336-8611
Sole ProprietorYes
Enumeration DateDecember 3, 2009
Last NPPES UpdateOctober 26, 20202 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
✔ NPI 1760710636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in TX · S8122
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1300 W LANCASTER AVE STE 205, Fort Worth, TX 76102
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Saletha Brenetha Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANGEETA G ELHENCE M.D.
Pediatrics (Neurodevelopmental Disabilities)
1300 W LANCASTER AVE STE 205
FORT WORTH, TX 76102
Tarrant County (817) 336-8611
CHILD STUDY CENTER
Behavior Analyst
1300 W LANCASTER AVE STE 205
FORT WORTH, TX 76102
Tarrant County (817) 390-2904
MARY ZELIME ELIBOL M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1300 W LANCASTER AVE STE 205
FORT WORTH, TX 76102
Tarrant County (817) 336-8611
MRS. REBECCA BLOSSOM NEANDER RN, CPNP
Nurse Practitioner (Primary Care)
1300 W LANCASTER AVE STE 205
FORT WORTH, TX 76102
Tarrant County (817) 336-8611
ANNE-MARIE ETHIER HAIN M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
1300 W LANCASTER AVE STE 205
FORT WORTH, TX 76102
Tarrant County (817) 336-8611

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 Saletha Smith's NPI number?

The NPI number for Saletha Smith is 1760710636. It was assigned to this individual provider in the NPPES registry on December 3, 2009.

Where is Saletha Smith located?

Saletha Smith practices at 1300 W Lancaster Ave Ste 205, Fort Worth, TX 76102. The listed phone number is (817) 336-8611.

What is Saletha Smith's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Saletha Smith enrolled in Medicare?

Yes. Saletha Smith is registered in the Medicare PECOS enrollment system.

What insurance does Saletha Smith accept?

Health plans from Baylor Scott and White Health Plan and Imperial Insurance Companies, Inc. list Saletha Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Saletha Smith was last updated on October 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.