Stephanie Smith
Driver • Fosston, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stephanie Smith has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Stephanie Smith was a registered Driver practicing in Fosston, MN. Throughout an active medical career spanning 11 years, Stephanie Smith provided care at the practice location at 304 JOHNSON AVE N until profile deactivation on 2022-07-22.
Practice Location & Contact Primary Location
304 Johnson Ave N
Fosston, MN 565421318
Specialty Benchmarks & Practice Insights
Comparative analytics for Driver in Fosston, MN
Practicing in Fosston, MN (239 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 172A00000X
A person employed to operate a motor vehicle as a carrier of persons or property.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 22, 2022
NPI status registered as active in NPPES database
Registered at 304 JOHNSON AVE N, FOSSTON, MN 565421318 (Tel: 2184351264)
Registered at 304 JOHNSON AVE N, FOSSTON, MN 565421318 (Tel: 2184351264)
Recorded as STEPHANIE SMITH
Driver
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
304 Johnson Ave N
Fosston, MN 565421318
Phone: 2184351264
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