SHEA O SMITH (NPI# 1063829315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063829315 |
| Entity Type | Individual |
| Full Name | SHEA O SMITH |
| Credential | CRNP |
| Practice Address |
1720 2nd Ave S Faculty Office Tower Ste 1038 Birmingham AL 35924 |
| Practice Telephone | 2059349879 |
| Practice Fax Number | 2059346088 |
| Mailing Telephone | 2059349879 |
| Mailing Fax Number | 2059346088 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-129131 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392488 | Shea L Smith | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-05-22 |
| 1558829465 | Shea E Smith | Behavioral Analyst | 3490 N Paseo De San Agustin, Tucson, AZ 85712-6035 | 2019-03-10 |
| 1518473081 | Shea Smith | Behavior Technician | 207 E Gordon Ave Ste 4, Layton, UT 84041-2375 | 2017-12-20 |
| Street Address |
1720 2ND AVE S FACULTY OFFICE TOWER STE 1038 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467436873 | Ella H Bowman | Internal Medicine | 1720 2nd Ave S, Ch19 Room 219k, Birmingham, AL 35294-2041 | 2005-11-30 |
| 1528685476 | Caitlin Wolford Clevenger | Psychologist | 1720 2nd Ave S, Birmingham, AL 35294-0004 | 2020-06-26 |
| 1649808601 | Charli Elyse Cohen | Student in an Organized Health Care Education/Training Program | 1720 2nd Ave S, Birmingham, AL 35294-0004 | 2020-03-27 |
| 1194363473 | Leslie A Miller | Social Worker | 1720 2nd Ave S, Tht 422, Birmingham, AL 35294 | 2019-12-17 |
| 1770128357 | Laura Rochester | Registered Nurse | 1720 2nd Ave S, Birmingham, AL 35294-0004 | 2019-11-07 |
| 1386295137 | Chelsea Eisemann Gatherwright | Nurse Practitioner | 1720 2nd Ave S, Birmingham, AL 35294-0004 | 2019-09-24 |
| 1225590938 | Geoffrey Glenn Herndon | Student in an Organized Health Care Education/Training Program | 1720 2nd Ave S, Birmingham, AL 35294-0004 | 2019-04-02 |
| 1902368723 | Michelle Eshea Quick | Registered Nurse | 1720 2nd Ave S, Birmingham, AL 35294-0004 | 2019-04-01 |
| 1750842985 | Cieara Jones | Registered Nurse | 1720 2nd Ave S, Birmingham, AL 35294-0004 | 2019-03-29 |
| 1184185233 | Sammy Hamood Yassin | Registered Nurse | 1720 2nd Ave S, Birmingham, AL 35294-0004 | 2019-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306364526 | Kelly Karell Wright | Nurse Practitioner | 1813 6th Ave S., Uab Hospital, Russell Wing, M240, Birmingham, AL 35924 | 2017-09-08 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664788 | Sarah Elizabeth Baumgarten | Nurse Practitioner | 127 E Hawthorne Rd, Birmingham, AL 35209-3958 | 2020-09-21 |
| 1407481559 | Ashley Jasmine Pauldin | Nurse Practitioner | 2010 Avenue F Ensley, Birmingham, AL 35218 | 2020-03-10 |
| 1609400621 | Vanessa Jones | Nurse Practitioner | 204 Vancouver Ct, Birmingham, AL 35211-6929 | 2020-02-28 |
| 1205472297 | Dilja Selcanin | Nurse Practitioner | 2237 Pembroke Rd, Birmingham, MI 48009-7507 | 2019-11-25 |
| 1427693480 | Alexandra Obarr Roussel | Nurse Practitioner | 1714 9th Ave S # Lrc300, Birmingham, AL 35205-3606 | 2019-11-14 |
| 1215582945 | Lauren Wall Maynard | Nurse Practitioner | 2145 Highland Ave S Ste 200, Birmingham, AL 35205-4015 | 2019-08-08 |
| 1295393502 | Deborah Ann Bowers | Nurse Practitioner | 1308 26th Ave N, Birmingham, AL 35204-1118 | 2019-06-01 |
| 1376019315 | Juyoung Jackson | Nurse Practitioner | 513 Brookwood Blvd Ste 500, Birmingham, AL 35209-7817 | 2018-10-17 |
| 1265908313 | Katie Fortenberry Miller | Nurse Practitioner | 833 Princeton Ave Sw Bldg IIi, Birmingham, AL 35211-1323 | 2018-10-16 |
| 1083180319 | Tiffany Monique Thomas | Nurse Practitioner | 2142 Sandlin Rd, Birmingham, AL 35235-2031 | 2018-10-14 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35924 |
Please comment or provide details below to improve the information on SHEA O 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.