SALETHA BRENETHA SMITH (NPI# 1760710636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760710636 |
Entity Type | Individual |
Full Name | SALETHA BRENETHA SMITH |
Practice Address |
1300 W Lancaster Ave Ste 205 Fort Worth TX 76102-3490 |
Mailing Address |
Po Box 733784 Dallas TX 75373-3784 |
Practice Telephone | 8173368611 |
Mailing Telephone | 8173368611 |
Enumeration Date | 2009-12-03 |
Last Update Date | 2020-10-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
S8122 | TX | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1300 W LANCASTER AVE STE 205 |
City | FORT WORTH |
State | TX |
Zip Code | 76102-3490 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730154493 | Anne-marie Ethier Hain | Pediatrics | 1300 W Lancaster Ave Ste 205, Fort Worth, TX 76102-3490 | 2006-02-17 |
1477758084 | Mary Zelime Elibol | Pediatrics | 1300 W Lancaster Ave Ste 205, Fort Worth, TX 76102 | 2007-06-15 |
1053402958 | Xochitl Jackson | Pediatrics | 1300 W Lancaster Ave Ste 205, Fort Worth, TX 76102-3490 | 2006-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285113746 | Deirdre P Browne | Counselor | 1500 E El Paso, Fort Worth, TX 76102 | 2018-08-07 |
1740784206 | Cvs Pharmacy Inc | Pharmacy | 515 Houston St, Fort Worth, TX 76102 | 2018-03-20 |
1316448061 | Diondra Deshawn Narcisse | Licensed Vocational Nurse | 1314 Lake Street, Fort Worth, TX 76102 | 2018-02-27 |
1649779943 | Carmela A Solis | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3309, Fort Worth, TX 76102 | 2018-02-02 |
1104324516 | Vicki Webb-baker | Health Educator | 512 Lamar Street, Suite 400, Fort Worth, TX 76102 | 2018-01-31 |
1235647678 | Brianna Marie Keister | Occupational Therapist | 201 W. Lancaster Ave, 417, Fort Worth, TX 76102 | 2018-01-19 |
1437507910 | Medical Hearing Services, LLC | Hearing Aid Equipment | 1201 Summit Avenue, Fort Worth, TX 76102 | 2016-05-25 |
1891171476 | Karis Starke | Physical Therapy Assistant | 2500 West Freeway (i-30), 100, Fort Worth, TX 76102 | 2015-08-05 |
1265839344 | Fm Katy Dental and Orthodontics, Pllc | Dentist | 100 E 15th Ste 520, Fort Worth, TX 76102 | 2014-12-04 |
1093134512 | Superior Evaluation Services | General Practice | 420 Throckmorton Suite 200, Ft. Worth, TX 76102 | 2014-04-11 |
Find all providers in zip 76102 |
Taxonomy Code | 2080P0006X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Developmental – Behavioral Pediatrics |
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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932615234 | Pediatrics Plus Therapy | Pediatrics | 6025 Sports Village Road, Frisco, TX 75033 | 2017-12-21 |
1508371824 | Kamvic Home Health Care LLC | Pediatrics | 21111 Barton Hollow Ln, Richmond, TX 77407-6416 | 2017-12-08 |
1962838458 | Sheri Michelle Ravenscroft | Pediatrics | 5359 N Ih 35 Frontage Rd, Ste 100, Austin, TX 78723-6300 | 2013-09-17 |
1467650564 | Charles Mike Rios | Pediatrics | 1100 S. Main St. #103, Grapevine, TX 76051 | 2007-07-10 |
1891908901 | Harold Mark Welch Jr. | Pediatrics | 3019 Medlin Dr, Suite 100, Arlington, TX 76015-2307 | 2007-05-07 |
1699987651 | Peter Campbell Ray | Pediatrics | 8300 Douglas Ave Ste 731, Dallas, TX 75225-5825 | 2007-05-03 |
1447384706 | Julie Jacob | Pediatrics | 8501 Wade Blvd Ste 330, Frisco, TX 75034-6264 | 2007-03-16 |
1134285430 | Jeri L Penkava | Pediatrics | 1370 Pantheon Way Ste 250, San Antonio, TX 78232-2290 | 2006-12-29 |
1598873135 | Beatrice Thetgyi Ting | Pediatrics | 3607 Rivera Ave, El Paso, TX 79905-2415 | 2006-08-25 |
1699718205 | Heidi A Castillo | Pediatrics | 6701 Fannin Street, Suite 1530, Houston, TX 77030 | 2006-06-13 |
Find all providers with the same taxonomy |
City | FORT WORTH |
Zip Code | 76102 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.