Provider Demographics
NPI:1881560977
Name:BENION SMITH, NIKITA DENISE
Entity type:Individual
Prefix:MRS
First Name:NIKITA
Middle Name:DENISE
Last Name:BENION SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17034 VERONICA AVE
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-3040
Mailing Address - Country:US
Mailing Address - Phone:313-646-5671
Mailing Address - Fax:
Practice Address - Street 1:17034 VERONICA AVE
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-3040
Practice Address - Country:US
Practice Address - Phone:313-646-5671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6140487374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide