Diane E Smith
Internist Hospice and Palliative Medicine
100 Kenyon Ave
Wakefield
, Rhode Island 02879-4216
Diane E Smith
Internist Hospice and Palliative Medicine
100 Kenyon Ave
Wakefield
, Rhode Island 02879-4216
(802) 447-5657
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About
Features
Specialties
- Internist
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Diane E Smith
- 140 Hospital Dr Suite 108
- Bennington, VT
- Zip : 05201-5009
- Fax : (802) 447-5657
- Phone : (802) 447-5519
Second Address
- Diane E Smith
- 100 Kenyon Ave
- Wakefield, RI
- Zip : 02879-4216
- Phone : (401) 782-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 0420013392 | VT |
| N | 111NI0900X | Internist | 0420013392 | VT |
| N | 207R00000X | Internist | 042212 | CT |
| N | 111NI0900X | Internist | 042212 | CT |
| Y | 207RH0002X | Hospice and Palliative Medicine | MD09423 | RI |
National Provider Identifier
| NPI | 1003893322 |
|---|---|
| Provider Name | Diane E Smith |
| First Address | Bennington, VT 05201-5009 |
| Second Address | Wakefield, RI 02879-4216 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/12/2005 |
| Last Update Date | 08/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1026765 | (05) | VT |
| G48879 | (02) | CT |
| U400473648 | MEDICARE (01) | RI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.