SALETHA BRENETHA SMITH


Address: 1300 W Lancaster Ave Ste 205, Fort Worth, TX 76102-3490
Phone: 8173368611

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1300 W LANCASTER AVE STE 205
City FORT WORTH
State TX
Zip Code 76102-3490

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy 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.
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.

Providers in the same taxonomy and state

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
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Competitor

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City FORT WORTH
Zip Code 76102

Improve Information

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Dataset Information

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.

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