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Deactivated NPI 1063379659 Deactivated / Inactive NPI

Tameka Shante Smith , LPN

Licensed Practical Nurse • Kettering, OH

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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, Tameka Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 06, 2026
NPI Deactivation Date July 30, 2026
Total Practice Duration ~1 Years of Practice (2026 – 2026)

Professional Overview & Biography Verified Profile Summary

Tameka Smith, LPN was a registered Licensed Practical Nurse practicing in Kettering, OH. Throughout an active medical career spanning 1 years, Tameka Smith provided care at the practice location at 2632 WOODMAN CENTER CT until profile deactivation on 2026-07-30.

Practice Location & Contact Primary Location

Practice Address

2632 Woodman Center Ct

Kettering, OH 454201477

Telephone 9377397100
Fax 4806877361
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Kettering, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
29 Specialists

Practicing in Kettering, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH LPN.152555.MEDS-IV

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Janice Sebree , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1013406602

Chemical Dependency Counselor Assistant

Dr. Eric Chico , DO

Family Medicine

NPI 1033257118

Doctor of Osteopathic Medicine (D.O.)

Sandra Benton , LCDC

Counselor - Addiction (Substance Use Disorder)

NPI 1073241501

Licensed Chemical Dependency Counselor

NPI 1093411878

REGISTEREDNURSE

Jamie Bartlett , LPN

Licensed Practical Nurse

NPI 1215718358

Licensed Practical Nurse

Victoria Fleming

Licensed Practical Nurse

NPI 1225901481

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 30, 2026

Record deactivated on July 30, 2026

NPI Profile Active January 06, 2026

NPI status registered as active in NPPES database

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Updated Practice Location January 06, 2026

Registered at 2632 WOODMAN CENTER CT, KETTERING, OH 454201477 (Tel: 9377397100)

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Updated Business Mailing Address January 06, 2026

Registered at 8444 N 90TH ST STE 100, SCOTTSDALE, AZ 852584437 (Tel: 6022488886)

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Provider Name / Credentials Updated January 06, 2026

Recorded as TAMEKA SMITH, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2026

Licensed Practical Nurse (License #LPN.152555.MEDS-IV in OH)

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Initial NPI Registration & Enumeration January 06, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063379659
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 06, 2026
Last Update: January 06, 2026
Deactivation Date: July 30, 2026

Mailing Address

8444 N 90th St Ste 100

Scottsdale, AZ 852584437

Phone: 6022488886

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.