KATHERINE ELLEN SMITH (NPI# 1023633427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023633427 |
| Entity Type | Individual |
| Full Name | KATHERINE ELLEN SMITH |
| Credential | PNP-C |
| Practice Address |
736 Irving Ave # 9100 Syracuse NY 13210-1687 |
| Mailing Address |
100 Rockford Dr Syracuse NY 13224-1828 |
| Practice Telephone | 3154707379 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
383131 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768726 | Katherine Bailey Smith | Student in an Organized Health Care Education/Training Program | 3535 N Ohio St, Arlington, VA 22207-1337 | 2020-10-20 |
| 1144732561 | Katherine Smith | Naturopath | Carretera 931, Kilometro 0.4, Gurabo, PR 00778 | 2017-10-25 |
| 1518480896 | Katherine Smith | Massage Therapist | 4242 E Cactus Rd, Apt 432, Phoenix, AZ 85032 | 2017-07-19 |
| 1033669544 | Katherine Zephania Smith | Licensed Practical Nurse | 198 Morton St, Rochester, NY 14609-4027 | 2016-10-07 |
| 1144673666 | Katherine Michelle Smith | Speech-Language Pathologist | 2301 Sunset Ln, York, PA 17408-4336 | 2016-07-20 |
| 1710353644 | Katherine Smith | Counselor | 21118 Dusty Glen Ln, Spring, TX 77379-8227 | 2015-08-14 |
| 1780076679 | Katherine Celine Smith | Nurse Practitioner | 1010 Executive Drive, Suite 200, Westmont, IL 60559 | 2015-03-02 |
| 1467859017 | Katherine Wilson Smith | Marriage & Family Therapist | 420 S Beverly Dr # 100-17b, Beverly Hills, CA 90212 | 2014-11-25 |
| 1295151637 | Katherine Smith | Speech-Language Pathologist | 10749 E Young Rd, London Mills, IL 61544-9348 | 2014-03-10 |
| 1073946166 | Katherine Smith | Speech-Language Pathologist | 120 Smith St, Walterboro, SC 29488-4931 | 2013-08-13 |
| Street Address |
736 IRVING AVE # 9100 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1053575829 | Tashika Gomez | Nurse Practitioner | 428 S Alvord St, Syracuse, NY 13208-2720 | 2008-07-10 |
| 1114180015 | Tracey Jo Rheaume | Nurse Practitioner | 725 Irving Avenue Suite 112, Center for Neurodevelopmemtl Pediatrics Crouse Pob, Syracuse, NY 13210-1624 | 2008-07-10 |
| 1538264312 | Nancy P Mitchell | Nurse Practitioner | 90 Presidential Plz Fl 3, University Pediatric and Adolescent Center, Syracuse, NY 13202-2240 | 2006-09-14 |
| 1821616962 | Brittney Johnson | Nurse Practitioner | 736 Irving Ave Ste 9100, Syracuse, NY 13210-1687 | 2020-07-06 |
| 1114542511 | Heather N Bedard | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-06-11 |
| 1841858370 | Heather Pitts | Nurse Practitioner | 819 S Salina St, Syracuse, NY 13202-3570 | 2019-05-30 |
| 1922572379 | Kristen Marie Maas | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-2306 | 2019-01-18 |
| 1225518707 | Erica Kendrew | Nurse Practitioner | 819 S Salina St, Syracuse, NY 13202 | 2018-08-15 |
| 1659868487 | Hollie Elizabeth Campbell | Nurse Practitioner | 725 Irving Ave Ste 503, Syracuse, NY 13210-1683 | 2018-04-17 |
| Find all providers in SYRACUSE | ||||
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| 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.