TERRA SMITH (NPI# 1053893495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053893495 |
| Entity Type | Individual |
| Full Name | TERRA SMITH |
| Practice Address |
693 Bloomfield Avenue Bloomfield CT 06002 |
| Mailing Address |
995 Day Hill Road Windsor CT 06095 |
| Practice Telephone | 8607315522 |
| Practice Fax Number | 8607315536 |
| Mailing Telephone | 8607315522 |
| Mailing Fax Number | 8607315536 |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2018-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639620610 | Terra Smith | Licensed Practical Nurse | 1832 Adams St, Toledo, OH 43604-4428 | 2016-10-14 |
| Street Address |
693 BLOOMFIELD AVENUE |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| 1417252347 | Reliance Bloomfield LLC | Pharmacy | 699 Cottage Grove Road, Bloomfield, CT 06002 | 2011-01-25 |
| Find all providers in zip 06002 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801437173 | D Christian Battey | Student in an Organized Health Care Education/Training Program | 33 Cold Spring Dr, Bloomfield, CT 06002-2105 | 2019-10-08 |
| 1629548672 | Lakshmi Durga Sriramulu | Student in an Organized Health Care Education/Training Program | 40 Conger St Apt 611a, Bloomfield, NJ 07003-3321 | 2018-12-03 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1518451954 | Rylee Do | Student in an Organized Health Care Education/Training Program | 5 Lawrence St Unit 546, Bloomfield, NJ 07003-4670 | 2018-06-19 |
| 1659860229 | Liana Michelle Atallah | Student in an Organized Health Care Education/Training Program | 21 Lackawanna Pl Apt 555, Bloomfield, NJ 07003-2961 | 2018-05-09 |
| 1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
| 1720514128 | Sharita Davis | Student in an Organized Health Care Education/Training Program | 64 Park Ave Apt B5, Bloomfield, NJ 07003-2650 | 2017-05-04 |
| 1366977456 | Faith Stair | Student in an Organized Health Care Education/Training Program | 5 Diana Dr, Bloomfield, CT 06002-3306 | 2017-04-26 |
| 1013448299 | Anthony Labib | Student in an Organized Health Care Education/Training Program | 8 George St, Bloomfield, NJ 07003-4318 | 2017-03-21 |
| 1316497621 | Benjamin Luke Spurgeon | Student in an Organized Health Care Education/Training Program | 104 E South St, Bloomfield, IA 52537-1937 | 2016-10-11 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
Please comment or provide details below to improve the information on TERRA 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.