MRS. EILEEN MARY SMITH (NPI# 1063058576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063058576 |
| Entity Type | Individual |
| Full Name | MRS. EILEEN MARY SMITH |
| Credential | RN BSN |
| Practice Address |
103 W Main St Patchogue NY 11772-3003 |
| Practice Telephone | 6316874188 |
| Mailing Telephone | 6319012138 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
551537 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831619113 | Eileen Katherine Smith | Audiologist | 43 New Scotland Ave # Mc-154, Albany, NY 12208-3412 | 2017-06-27 |
| 1497942668 | Eileen Denise Smith | Home Health | 6871 Lotus Way, West Jordan, UT 84084-7551 | 2007-10-01 |
| 1235276205 | Eileen B Smith | Psychologist | 4825 E Roosevelt St, Phoenix, AZ 85008-5917 | 2007-01-31 |
| 1316051527 | Eileen A Smith | Psychiatry & Neurology | 8601 Village Drive, #118, San Antonio, TX 78217 | 2006-08-18 |
| 1558340554 | Eileen Pazderka Smith | Specialist | 228 W Birch St, Walla Walla, WA 99362-2935 | 2006-01-10 |
| 1194246314 | Eileen Ruggles Smith | Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2017-06-28 |
| 1770026015 | Eileen Smith | Counselor | 710 Versailles Blvd, Alexandria, LA 71303-2351 | 2016-11-18 |
| 1194068155 | Eileen F Smith | Audiologist | 4075 Park Ave, Memphis, TN 38111-7420 | 2013-03-28 |
| 1295011773 | Eileen Ann Smith | Registered Nurse | 3599 Big Ridge Rd, Spencerport, NY 14559-1709 | 2011-10-27 |
| 1588945422 | Eileen Elizabeth Smith | Occupational Therapy Assistant | 1415 Yellowstone River Rd, Billings, MT 59105-1834 | 2011-09-06 |
| Street Address |
103 W MAIN ST |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524533 | Mahshid Toghanian | Nurse Practitioner | 103 W Main St, Patchogue, NY 11772-3003 | 2019-12-01 |
| 1306350715 | Brookhaven Memorial Hospital Medical Center, Inc. | Health Educator | 103 W Main St, Patchogue, NY 11772-3003 | 2017-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720544612 | Nancy A Rodrigues | Registered Nurse | Ryan Chelsea Clinton Clinic, 645 10th Ave, New York, NY 10036-1003 | 2019-02-15 |
| 1366910895 | Charlotte Marie Mcloughlin | Registered Nurse | 3531 168th St, Flushing, NY 11358-1732 | 2018-11-02 |
| 1326529736 | Diabetes & You, LLC | Registered Nurse | 30 Reade Pl, Poughkeepsie, NY 12601-3946 | 2018-08-23 |
| 1033609458 | Simnutrition Inc. | Registered Nurse | 34 Rowan St, Smithtown, NY 11787-1057 | 2018-05-10 |
| 1245727437 | Teresa A Cichosz | Registered Nurse | 17415 Horace Harding Expy # 2f, Fresh Meadows, NY 11365-1527 | 2018-04-13 |
| 1891293452 | Adam Edward Kessler | Registered Nurse | 25 Hackett Blvd Fl 3, Albany, NY 12208-3462 | 2018-01-30 |
| 1972036333 | Jaclyn Defranco | Registered Nurse | 3400 Nesconset Hwy Ste 104, East Setauket, NY 11733-3327 | 2017-04-04 |
| 1588196067 | Lorraine K. Porcaro | Registered Nurse | 707 E Main Street, Diabetes Room 2225e, Middletown, NY 10940 | 2017-04-03 |
| 1063964179 | Ramona Nowak | Registered Nurse | 194 Wycliff Dr, Webster, NY 14580-2824 | 2016-10-25 |
| 1699162792 | Sara L Mcmillan | Registered Nurse | 356 Sunrise Blvd, Williamsville, NY 14221-3127 | 2015-04-16 |
| Find all providers with the same taxonomy | ||||
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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.