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NPI Code Detail

MEDICARE: COURTNEY SMITH

MEDICARE: COURTNEY SMITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1629933197
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY SMITH
Provider Business Mailing Address
First Line : 3822 DAVIS PL NW APT B2
Second Line :
City : WASHINGTON
State : DC
Zip : 20007-1357
Country : US
Telephone Number : 202-539-3853
Fax Number :
Provider Business Practice Location Address
First Line : 3298 FORT LINCOLN DR NE APT 607
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-4318
Country : US
Telephone Number : 202-977-9141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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Directions to “ COURTNEY SMITH ” Practice Location

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