KELLI LEA SMITH (NPI# 1043485337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043485337 |
| Entity Type | Individual |
| Full Name | KELLI LEA SMITH |
| Other Name | KELLI LEA SLAGLE |
| Credential | MS |
| Practice Address |
300 W Broadway Suite #107 Council Bluffs IA 51503-9045 |
| Practice Telephone | 7123283700 |
| Practice Fax Number | 7123283721 |
| Mailing Telephone | 7123283700 |
| Mailing Fax Number | 7123283721 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
00982 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 20-0637558 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710537253 | Kelli Marie Smith | Nurse Practitioner | 401 S Fifth St, Lynch, NE 68746-3013 | 2019-09-17 |
| 1972028215 | Kelli Smith | Counselor | 2001 W Plano Pkwy Ste 1400, Plano, TX 75075-8607 | 2017-08-08 |
| 1891157400 | Kelli Marie Smith | Student in an Organized Health Care Education/Training Program | 401 Quarry Rd # Mc5723, Palo Alto, CA 94304-1419 | 2016-03-23 |
| 1760881809 | Kelli Ann Smith | Pharmacist | 4122 Autumn Crest Dr, Hamilton, MI 49419-9119 | 2014-08-14 |
| 1154580983 | Kelli S. Smith | Physical Therapist | 1116 Halsell St, Bridgeport, TX 76426-3000 | 2008-06-06 |
| 1932382637 | Kelli Smith | Clinical Nurse Specialist | 43 Brookfield Cir, Framingham, MA 01701-4036 | 2007-12-17 |
| 1235119843 | Kelli L Smith | Physical Therapist | 259 Melbourne Ave, Akron, OH 44313-6574 | 2006-01-19 |
| 1326035148 | Kelli Pugh Smith | Audiologist | 901 Enterprise Pkwy Ste 300, Hampton, VA 23666-6249 | 2005-10-06 |
| 1831196203 | Kelli Gay Smith | Audiologist | 11685 Alpharetta Hwy, Ste 360, Roswell, GA 30076-4982 | 2005-06-30 |
| 1144868506 | Kelli Marie Smith | Case Manager/Care Coordinator | 6100 S Walker Ave, Oklahoma City, OK 73139-7026 | 2019-12-17 |
| Street Address |
300 W BROADWAY SUITE #107 |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-9045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508856303 | Kenneth D Burkhart | Family Medicine | 300 W Broadway, Ste 6, Council Bluffs, IA 51503 | 2005-10-24 |
| 1851863716 | Mae Sondra Miller | Counselor | 300 W Broadway, Council Bluffs, IA 51503-9019 | 2018-12-17 |
| 1033587704 | Ashley Paulson | Counselor | 300 W Broadway, #29, Council Bluffs, IA 51503-9019 | 2015-09-10 |
| 1265837298 | Hospice of Central Iowa | Hospice Care, Community Based | 300 W Broadway, Suite 114, Council Bluffs, IA 51503 | 2014-11-04 |
| 1316377286 | Natalie Renee Bussing | Social Worker | 300 W Broadway, Suite 107, Council Bluffs, IA 51503-9078 | 2013-11-13 |
| 1477823581 | Amanda Dawn Carpick | Social Worker | 300 W Broadway, Suite 7, Council Bluffs, IA 51503-9019 | 2012-01-05 |
| 1477837615 | Prairielands Chiropractic Clinic P.C. | Chiropractor | 300 W Broadway, Suite 712, Council Bluffs, IA 51503-9078 | 2011-10-06 |
| 1679874499 | Elaine Pierce Petersen | Social Worker | 300 W Broadway, Suite 6, Council Bluffs, IA 51503-9078 | 2010-11-10 |
| 1508184581 | Diana Elizabeth Hoogestraat | Social Worker | 300 W Broadway, Council Bluffs, IA 51503-9078 | 2010-05-14 |
| 1093943391 | Kudzai Chikwava | Dentist | 300 W Broadway, Suite 6, Council Bluffs, IA 51503-9078 | 2009-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
| 1790314243 | Your Self-care Therapy | Counselor | 300 W Broadway # 420, Council Bluffs, IA 51503-9019 | 2020-04-06 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1033769112 | Thomas Edward Koch | Counselor | 803 3rd Ave # Ia51501, Council Bluffs, IA 51501-4101 | 2019-09-19 |
| 1447742036 | Heartland Family Service | Counselor | 622 S 4th St, Council Bluffs, IA 51503-9005 | 2018-05-31 |
| 1336645449 | Rachel Newman | Counselor | 6th St and Ave E, Council Bluffs, IA 51502-2943 | 2018-04-05 |
| 1144776931 | Jeannie Hughes | Counselor | 2315 S 13th St, Council Bluffs, IA 51501-7414 | 2016-08-31 |
| 1316331879 | Angel M. Albertson | Counselor | 500 Willow Ave Ste 209, Council Bluffs, IA 51503-0827 | 2015-03-23 |
| 1639562069 | Heartland Family Service | Counselor | 705 N 16th St, Council Bluffs, IA 51501-0105 | 2015-03-10 |
| 1730599341 | Windy J Disalvo | Counselor | 719 Mill St., Council Bluffs, IA 51502-3008 | 2014-05-05 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on KELLI LEA SMITH.
| 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.