MICHAEL DAVID SMITH


Address: 401 East Main Street, Johnson City, TN 37601-4877
Phone: 4239292584

MICHAEL DAVID SMITH (NPI# 1003819707) 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) 1003819707
Entity Type Individual
Full Name MICHAEL DAVID SMITH
Credential NURSE PRACTITIONER
Practice Address 401 East Main Street
Johnson City
TN 37601-4877
Practice Telephone 4239292584
Practice Fax Number 4237222060
Mailing Telephone 4239292584
Mailing Fax Number 4237222060
Enumeration Date 2005-05-27
Last Update Date 2015-02-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner APN7641 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 3347731 05
TN DEA LICENSE MS0507890 01
TN REGISTER NURSE LICENSE RN115963 01
TN ADVANCED PRACTICE NURSE APN7641 01

Other Providers MICHAEL SMITH

NPI Name Taxonomy Address Enumeration
1881200012 Michael Smith Physical Therapy Assistant 3690 Orange Pl Ste 250, Beachwood, OH 44122-4438 2020-09-22
1700499712 Michael Martin Smith Social Worker 1020 Simonds Rd, Williamstown, MA 01267-2102 2020-08-28
1811509466 Michael Browning Smith Acupuncturist 2039 Regency Rd Ste 3, Lexington, KY 40503-2334 2020-08-17
1942862941 Michael B Smith Counselor 260 Chapman Rd Ste 103, Newark, DE 19702-5410 2019-07-01
1003370818 Michael Jaleon Smith Case Manager/Care Coordinator 14206 Long Meadow Dr, Houston, TX 77047-4597 2019-01-25
1699255877 Michael R Smith Naturopath 23501 W Clark St, Plainfield, IL 60586-2321 2018-08-17
1750869384 Michael Smith Counselor 4636 E 175th St, Cleveland, OH 44128-3930 2018-08-06
1730671207 Michael Carl Smith Assisted Living Facility 5736 N 33rd Ave, Phoenix, AZ 85017 2018-05-31
1851800874 Michael Smith Physician Assistant 11 South Osceola Ave, Apt 3102, Orlando, FL 32801 2017-09-21
1457878118 Michael Smith Physical Therapist 3524 Kaliste Saloom Rd Ste 205, Lafayette, LA 70508-7638 2017-08-24

Office Location

Street Address 401 EAST MAIN STREET
City JOHNSON CITY
State TN
Zip Code 37601-4877

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194052126 Michelle L Lowe Occupational Therapy Assistant 401 East Main Street, Suite 5 Physical Therapy Services Pa, Johnson City, TN 37601 2009-11-12
1295830131 Suzanne B Rogers Nurse Practitioner 401 East Main Street, Johnson City, TN 37601-4877 2006-09-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396381992 Juan Carlos Simon Villegas Gomez Specialist/Technologist 1081 John Robert Bell Dr, Johnson City, TN 37601 2019-11-19
1629537279 Jaima Suzanne Price Hearing Instrument Specialist 106 E Watauga Avenue, Johnson City, TN 37601 2019-03-13
1275004467 Brittany Howell Speech-Language Pathologist 2114 E. Fairview Ave, Johnson City, TN 37601 2018-12-16
1194229948 Heather Chantel Lester Physical Therapist 2114 E. Fairview Avenue, Johnson City, TN 37601 2018-03-19
1477061869 Patrick Conway Reynolds Specialist/Technologist 1081 John Robert Bell Drive, Johnson City, TN 37601 2018-01-19
1790201135 Surgical Services of East Tennessee PC Surgery 300 East Main St., Suite 301, Johnson City, TN 37601 2017-08-17
1073065694 Davina Leah Reppond Home Health 1204 E Myrtle Ave, Johnsoncity, TN 37601 2016-10-31
1003365503 Wendi Y Minutolo Behavioral Analyst 403 Princeton Rd Ste 3, Johnson City, TN 37601 2016-09-25
1306208798 Rachel Anne Anderson Nurse Practitioner 1118 East Holston Avenue, Johnson City, TN 37601 2016-03-24
1932560976 Kaydee Louise Davidson Occupational Therapist 3209 Bristol Highway, Johnson City, TN 37601 2016-03-18
Find all providers in zip 37601

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205468923 Bobby Ray Nichols IIi Nurse Practitioner 2708 S Greenwood Dr, Johnson City, TN 37604-3260 2020-02-11
1932748829 Shape Shifters Weight Loss and Joint Center Nurse Practitioner 104 University Pkwy Ste 1, Johnson City, TN 37604-7349 2019-12-26
1205484920 Violetta Ward Nurse Practitioner 1505 Chickees St, Johnson City, TN 37604-7102 2019-08-27
1972077816 Betty Christian Kinser Nurse Practitioner 3135 Peoples St Ste 303, Johnson City, TN 37604-4130 2019-01-14
1912489261 Casey Lynn Davis Nurse Practitioner 208 Sunset Dr Ste 340, Johnson City, TN 37604-2521 2018-09-04
1356831101 Sheena L Tullock Nurse Practitioner 2428 Knob Creek Rd Ste 102, Johnson City, TN 37604-2396 2018-05-17
1093212516 Brandy Michelle Story Nurse Practitioner 1321 Sunset Dr Ste 11, Johnson City, TN 37604-7902 2018-04-11
1265959316 Ashley Gross Nurse Practitioner 411 Princeton Rd Ste 101, Johnson City, TN 37601-2049 2017-08-29
1114454857 Janet Gar Nurse Practitioner 1319 Bell Ridge Rd Apt 703, Johnson City, TN 37601-8021 2017-05-12
1720527674 Kristina Bagley Nurse Practitioner 101 Medtech Parkway, Suite 200, Johnson City, TN 37604-4007 2017-02-13
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 37601

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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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