M'KENZEE B SMITH (NPI# 1073064952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073064952 |
| Entity Type | Individual |
| Full Name | M'KENZEE B SMITH |
| Credential | APN |
| Practice Address |
1100 E Norris Dr Ottawa IL 61350-1604 |
| Practice Telephone | 8154331010 |
| Mailing Telephone | 8154331010 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209-014864 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1100 E NORRIS DR |
| City | OTTAWA |
| State | IL |
| Zip Code | 61350-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871597112 | Rodney Arthur Griffis | Nurse Anesthetist, Certified Registered | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2005-06-01 |
| 1245837459 | Rebecca Anne Ralston | Social Worker | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2020-10-01 |
| 1689298036 | Clayton Shick | Nurse Anesthetist, Certified Registered | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2020-06-02 |
| 1407314685 | Andrea Meyer | Speech-Language Pathologist | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2019-03-07 |
| 1780141721 | Chloe Wielgopolan | Occupational Therapist | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2019-02-26 |
| 1659809580 | Valerie Anne Arwood | Social Worker | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2017-05-23 |
| 1386180347 | Jessica Manijak | Physical Therapist | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2017-01-16 |
| 1467998450 | Lisa Ondrovic | Physical Therapist | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2017-01-13 |
| 1427594571 | Krzysztof Ratajczak | Physical Therapist | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2017-01-12 |
| 1114463445 | Tatum Schilling | Occupational Therapist | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2017-01-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306336359 | Yulandist Jeannie Brown | Licensed Practical Nurse | 617 Columbus St, Ottawa, IL 61350 | 2018-05-15 |
| 1881071272 | Ashlee Herbold | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1718 N 2525th Rd, Ottawa, IL 61350 | 2015-05-05 |
| 1053702365 | Wanda Rohl | Social Worker | 3735 E 1453 Rd, Ottawa, IL 61350 | 2015-02-09 |
| 1538550868 | Erin Rose Boe | Physical Therapist | 2872 Columbus St, Unit 300, Ottawa, IL 61350 | 2015-02-09 |
| 1346572757 | Rebecca Samolitis | Counselor | 116 W Lafayette St, Suite 8, Ottawa, IL 61350 | 2010-02-10 |
| 1235383266 | Timothy I Miller O.d. P.C. | Optometrist | 107 E. Mckinley Rd., Ottawa, IL 61350 | 2008-11-04 |
| 1427204676 | Leo John Meagher | Counselor | 218 West Madison St, Ottawa, IL 61350 | 2008-08-07 |
| 1598938755 | Radiation Oncology of Northern Illinois LLC | Radiology | 1200 Starfire Dr, Ottawa, IL 61350 | 2008-04-09 |
| 1154538510 | Serenityonwheels, Inc. | Counselor | Serenity On Wheels, Inc. 630 Columbus Street, Ste # 214, Ottawa, IL 61350 | 2007-05-16 |
| 1205040904 | Dixie Devry | Occupational Therapist | 2532 Reynolds Manor, Ottawa, IL 61350 | 2007-05-10 |
| Find all providers in zip 61350 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487129318 | Kate E Jaegle | Nurse Practitioner | 1050 E Norris Dr Ste 3a, Ottawa, IL 61350-1646 | 2018-10-08 |
| 1427531615 | Carrie B Finley | Nurse Practitioner | 1209 Starfire Dr Ste 3, Ottawa, IL 61350-1688 | 2018-09-13 |
| 1669564332 | Sandra K Staneart | Nurse Practitioner | 1302 South Main St, Suite 1, Ottawa, KS 66067 | 2006-09-29 |
| 1982164471 | Lauren M Maccracken | Nurse Practitioner | 1050 E Norris Dr, Ottawa, IL 61350-1605 | 2019-03-21 |
| 1508384306 | Lima Memorial Professional Corporation | Nurse Practitioner | 102 Putnam Pkwy, Ottawa, OH 45875-8657 | 2017-09-01 |
| 1609227081 | Heather M Johnston | Nurse Practitioner | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2016-06-27 |
| 1013382209 | Sherri L Albert | Nurse Practitioner | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2015-12-14 |
| 1659771863 | Justine Mucci | Nurse Practitioner | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2014-08-26 |
| 1508146416 | Lima Memorial Professional Corporation | Nurse Practitioner | 102 Putnam Pkwy, Ottawa, OH 45875-8657 | 2011-08-23 |
| 1659390508 | Robbie L. Strahm | Nurse Practitioner | 1418 S Main St, Suite 5, Ottawa, KS 66067 | 2006-07-19 |
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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.