MEDICARE: JOYCE SMITH CMA

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
1	376K00000X	Nurse's Aide	139475	MO

General Provider Information

NPI Number	:	1861968513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE SMITH CMA

Provider Business Mailing Address
First Line	:	8407 E 93RD ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64138-4612
Country	:	US
Telephone Number	:	816-699-6153
Fax Number	:

Provider Business Practice Location Address
First Line	:	12019 E 47TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64133-2517
Country	:	US
Telephone Number	:	816-699-6153
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2018
Last Update Date	:	08/13/2021

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Directions to “ JOYCE SMITH CMA” Practice Location

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