KELSEY BREANNE SMITH (NPI# 1043862766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043862766 |
| Entity Type | Individual |
| Full Name | KELSEY BREANNE SMITH |
| Credential | APRN |
| Practice Address |
210 S Thompson St Ste 4a Springdale AR 72764-4261 |
| Mailing Address |
3782 Glenbrook Loop Springdale AR 72764-7856 |
| Practice Telephone | 4794459900 |
| Mailing Telephone | 4178504313 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
121402 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164075636 | Kelsey Morgan Smith | Occupational Therapist | 1059 W Laguna Azul Ave, Mesa, AZ 85210-7125 | 2019-07-23 |
| 1912420381 | Kelsey Smith | Speech-Language Pathologist | 30362 Crepe Myrtle Ct, Daphne, AL 36527-8613 | 2017-07-18 |
| 1659801108 | Kelsey Smith | Chiropractor | 2300 Matlock Rd Ste 4, Mansfield, TX 76063-5018 | 2017-06-18 |
| 1114453123 | Kelsey Smith | Social Worker | 14535 3/4 Dickens St, Sherman Oaks, CA 91403-3761 | 2017-05-11 |
| 1609300300 | Kelsey Smith | Occupational Therapist | 3111 124th Ave Nw Ste 123, Coon Rapids, MN 55433-4573 | 2017-04-19 |
| 1114536190 | Kelsey Marie Smith | Massage Therapist | 5 N Main St, Englewood, OH 45322-1326 | 2020-07-27 |
| 1750905964 | Kelsey Deborah Smith | Optometrist | 1075 N Academy Blvd, Colorado Springs, CO 80909-4401 | 2020-06-03 |
| 1962035451 | Kelsey Dee Smith | Physical Therapy Assistant | 209 Fitness Way Ste D, Athens, AL 35611-2452 | 2020-02-13 |
| 1588296081 | Kelsey Smith | Behavior Technician | 632 Eastern Blvd, Clarksville, IN 47129-2463 | 2020-02-12 |
| 1992337042 | Kelsey Margaret Smith | Physical Therapist | 600 Country Club Rd, Eugene, OR 97401-2240 | 2020-02-06 |
| Street Address |
210 S THOMPSON ST STE 4A |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-4261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316901994 | Bilal Naeem | Internal Medicine | 210 S Thompson St Ste 4a, Springdale, AR 72764-4261 | 2006-04-12 |
| 1124347380 | Ozark Senior Healthcare, Pllc | Internal Medicine | 210 S Thompson St Ste 4a, Springdale, AR 72764-4261 | 2010-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710363775 | Truphena Oroo | Nurse Practitioner | 2274 Lakeside Ave, Springdale, AR 72764-7213 | 2015-07-31 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1639461189 | Phyllis Susan Butler | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764 | 2011-05-03 |
| 1659456051 | Carol Ed Agana | Nurse Practitioner | 614 E Emma Ave, Suite 300, Springdale, AR 72764-4634 | 2006-10-25 |
| 1881784353 | Cecelia Hope Fredrich | Nurse Practitioner | 2422 N Thompson St, Suite A, Springdale, AR 72764-1757 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122121 | John Mychal Thompson | Nurse Practitioner | 1411 Terrace, Magnolia, AR 71753-2040 | 2020-10-21 |
| 1619581873 | Tammy M Palermo | Nurse Practitioner | 210 County Road 1071, Eureka Springs, AR 72632-9480 | 2020-09-04 |
| 1134733611 | Heather Suzanne Brown | Nurse Practitioner | 856 Silverpeak Rd, Sherwood, AR 72120-2366 | 2020-09-02 |
| 1891307054 | Jyrissa Robinson | Nurse Practitioner | 1209 Hideaway Cv, Bryant, AR 72022-5007 | 2020-08-19 |
| 1598308140 | Elizabeth Ann Charles | Nurse Practitioner | 7001 Rogers Ave Fl 6, Fort Smith, AR 72903-4073 | 2019-10-25 |
| 1548802309 | Jazzmon Nicole Trice | Nurse Practitioner | 8400 Highway 386 East, Wrightsville, AR 72183 | 2019-10-14 |
| 1902457955 | Debbie Diane Laws | Nurse Practitioner | 2415 N Tyler St, Little Rock, AR 72207-3740 | 2019-09-21 |
| 1104473214 | Rebecca Lopez | Nurse Practitioner | 3305 S 2nd Pl, Rogers, AR 72758-1427 | 2019-08-22 |
| 1457814501 | Charis Health and Wellness Clinic | Nurse Practitioner | 7500 Dollarway Rd Ste 403, White Hall, AR 71602-3083 | 2019-04-06 |
| 1780141531 | Lauren Kincannon | Nurse Practitioner | Baptist Health Cardiothoracic Surgery Clinic, Little Rock, AR 72205-7220 | 2019-02-28 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
Please comment or provide details below to improve the information on KELSEY BREANNE 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.