SUSAN ALICE SMITH (NPI# 1053431940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053431940 |
| Entity Type | Individual |
| Full Name | SUSAN ALICE SMITH |
| Credential | FNP |
| Practice Address |
165 Tor Ct Pittsfield MA 01201-3001 |
| Practice Telephone | 4134472862 |
| Practice Fax Number | 4133957990 |
| Mailing Telephone | 4134472862 |
| Mailing Fax Number | 4133957990 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2013-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
156578 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MASS LICENSE | MA156578 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407347297 | Susan Banuelos Smith | Dietitian, Registered | 3801 W 15th St Ste 214, Plano, TX 75075 | 2018-05-29 |
| 1447751870 | Susan Allen Smith | Registered Nurse | 1210 Terrace Dr, Mesquite, TX 75150-4284 | 2018-02-21 |
| 1326585407 | Susan A Smith | Nutritionist | 1114 Hidden Spring Dr, Naperville, IL 60540-4112 | 2017-01-26 |
| 1588115067 | Susan Smith | Counselor | 8491 N. Lake Blvd., Kings Beach, CA 96143 | 2016-10-19 |
| 1508316712 | Susan Taylor Smith | Speech-Language Pathologist | 120 Brundage Ter, Hot Springs, AR 71913-9348 | 2016-10-12 |
| 1326595075 | Susan Smith | Physical Therapist | 1115 E Hampton Dr, Pearland, TX 77584-7620 | 2016-09-09 |
| 1740656115 | Susan Smith | Counselor | 108089 S 4670 Rd, Sallisaw, OK 74955-8587 | 2015-08-19 |
| 1902282734 | Susan Smith | Physical Therapist | 4 Carville Ave, Lexington, MA 02421-6212 | 2015-08-04 |
| 1790173110 | Susan Smith | Speech-Language Pathologist | 301 Haig Dr, Wilmington, NC 28412-7134 | 2015-01-07 |
| 1598180218 | Susan Smith I | Counselor | 2819 Teasdale Dr, Troy, MI 48083-2657 | 2014-03-04 |
| Street Address |
165 TOR CT |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619921608 | Andrew J Demaggio | Physical Medicine & Rehabilitation | 165 Tor Ct, Pain Center, Pittsfield, MA 01201-3001 | 2006-05-22 |
| 1922580612 | Nichole Rapkowicz | Social Worker | 165 Tor Ct, Pittsfield, MA 01201-3001 | 2018-08-30 |
| 1134630890 | Michelle Kirsten Nash | Dietitian, Registered | 165 Tor Ct, Pittsfield, MA 01201-3001 | 2017-10-20 |
| 1316463813 | Shields Petct At Berkshire Medical Center LLC | Clinic/Center | 165 Tor Ct, Pittsfield, MA 01201-3001 | 2017-08-16 |
| 1386013795 | Karyn Koziara | Dietitian, Registered | 165 Tor Ct, Berkshire Medical Center Hillcrest Campus, Pittsfield, MA 01201-3001 | 2015-09-16 |
| 1760874028 | Orthotics West, Inc | Prosthetic/Orthotic Supplier | 165 Tor Ct, Suite 1057, Pittsfield, MA 01201-3001 | 2015-02-24 |
| 1508120445 | Constance Mary Flynn | Nurse Practitioner | 165 Tor Ct, Pittsfield, MA 01201-3001 | 2012-06-26 |
| 1104078120 | Glenda Boykin | Physician Assistant | 165 Tor Ct, Pain Center, Pittsfield, MA 01201-3001 | 2008-10-22 |
| 1821254392 | Donald H. Scherling | Counselor | 165 Tor Ct, Pittsfield, MA 01201-3001 | 2008-08-04 |
| 1881886026 | Kevin F Ryan | Nurse Practitioner | 165 Tor Ct, Pittsfield, MA 01201-3001 | 2007-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932612280 | Kathryn Sondrini | Nurse Practitioner | 777 North St Fl 4, Pittsfield, MA 01201-4147 | 2017-11-08 |
| 1497065791 | Holly M Hunter | Nurse Practitioner | 163 South St Ste 2, Pittsfield, MA 01201-6875 | 2010-10-20 |
| 1902976384 | Kathleen Anne O Callahan | Nurse Practitioner | 140 Chandler St, Pittsfield, ME 04967-3711 | 2006-11-09 |
| 1083620314 | Emily B Cianchette | Nurse Practitioner | 470 Somerset Ave, Pittsfield, ME 04967-4928 | 2006-07-31 |
| 1134186992 | Laurie M Bank | Nurse Practitioner | 165 Tor Court, Hillcrest Family Health, Pittsfield, MA 01201 | 2006-04-27 |
| 1043277809 | Robin L Love | Nurse Practitioner | 777 North St Ste 207, Pittsfield, MA 01201-4123 | 2006-04-27 |
| 1962016345 | Alison Mary Smith Wynter | Nurse Practitioner | 73 Eagle St, Pittsfield, MA 01201-4714 | 2020-09-03 |
| 1457969677 | Danielle Lapierre | Nurse Practitioner | 20 Elm St, Pittsfield, MA 01201-6502 | 2020-07-14 |
| 1912546326 | Chris Wassell | Nurse Practitioner | 640 W Washington St, Pittsfield, IL 62363-1350 | 2020-01-02 |
| 1659919884 | Angela Avanzato | Nurse Practitioner | 20 Elm St, Pittsfield, MA 01201-6502 | 2019-12-18 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
Please comment or provide details below to improve the information on SUSAN ALICE 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.