MRS. MARY ANGELA SMITH (NPI# 1073744348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073744348 |
| Entity Type | Individual |
| Full Name | MRS. MARY ANGELA SMITH |
| Credential | ARNP, FNP-C |
| Practice Address |
106 Commercial Dr Harrodsburg KY 40330-1084 |
| Practice Telephone | 8597343482 |
| Practice Fax Number | 8597343432 |
| Mailing Telephone | 8597343482 |
| Mailing Fax Number | 8597343432 |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3006095 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
6095P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | K029286 | 01 | |
| RR MEDICARE | P02044361 | 01 | |
| BCBS | 000001141526 | 01 | |
| KY | 7100090450 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 512 Saffell St, Lawrenceburg, KY 403421253 | 5028398815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604133 | Mary Smith | Technician | 3306 Cypress Ave, Cleveland, OH 44109-4935 | 2020-09-22 |
| 1275147209 | Mary Irene Smith | Technician | 490 Court St, Fort Gay, WV 25514-9304 | 2020-09-08 |
| 1679183560 | Mary Jean Smith | Counselor | 2105 Capurro Way Ste 270, Sparks, NV 89431-8518 | 2020-08-05 |
| 1346863016 | Mary Maegan Smith | Physical Therapy Assistant | 4545 State Highway 135 N, Jacksonville, TX 75766-6971 | 2020-05-28 |
| 1326668716 | Mary Smith | Adult Companion | 2546 Ne 11th Pl, Gainesville, FL 32641-4886 | 2020-04-25 |
| 1912534256 | Mary Margaret Smith | Dietitian, Registered | 756 Forest Dr, Mayville, WI 53050-1704 | 2020-03-26 |
| 1265074454 | Mary Elizabeth Smith | Nurse Practitioner | 1441 Ne 10th Ave # Aev, Payette, ID 83661-5420 | 2019-10-09 |
| 1477014686 | Mary Smith | Physical Therapy Assistant | 209 Laura Springs Dr, Salisbury, NC 28146-7216 | 2019-03-29 |
| 1578040341 | Mary Stefanie Smith | Marriage & Family Therapist | 17581 Via Sereno, Monte Sereno, CA 95030-3201 | 2018-07-25 |
| 1720588817 | Mary Smith | Home Health Aide | 5333 Dix St Ne, Washington, DC 20019-6664 | 2018-02-15 |
| Street Address |
106 COMMERCIAL DR |
| City | HARRODSBURG |
| State | KY |
| Zip Code | 40330-1084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336121441 | Randall Allen Wilson | Family Medicine | 106 Commercial Dr, Harrodsburg, KY 40330-1084 | 2005-11-15 |
| 1063691590 | Richard M Dartt Psc | Nurse Practitioner | 106 Commercial Dr, Harrodsburg, KY 40330-1084 | 2007-11-01 |
| 1255419776 | Stephen Kirk Hall | Nurse Practitioner | 106 Commercial Dr, Harrodsburg, KY 40330-1084 | 2006-11-01 |
| 1013969849 | Richard Myron Dartt | Family Medicine | 106 Commercial Dr, Harrodsburg, KY 40330-1084 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645559 | Isaiah House Inc | Substance Abuse Rehabilitation Facility | 5866 Bohon Rd, Harrodsburg, KY 40330 | 2018-10-18 |
| 1760964514 | Ephraim Mcdowell Regional Medical Center, Incorporated | Durable Medical Equipment & Medical Supplies | 470 Linden Ave Ste 1, Harrodsburg, KY 40330 | 2018-08-29 |
| 1801225206 | Mercer County Health Department | Public Health or Welfare | 900 North College Street, Harrodsburg, KY 40330 | 2013-11-06 |
| 1902146277 | Ephraim Mcdowell Health Resource, Inc | Internal Medicine | 470 Linden Ave Ste 7, Harrodsburg, KY 40330 | 2013-02-25 |
| 1972815942 | Melanie Suzanne Hutti | Occupational Therapist | 853 W. Lexington Ave., Harrodsburg, KY 40330 | 2010-07-07 |
| 1821276338 | Blue Grass Community Action Partnership, Inc | Respite Care | Mercer County Adult Day Care, 1475 Louisville Road, Harrodsburg, KY 40330 | 2008-02-06 |
| 1457535973 | Active Body Chiropractic and Injury Center Pllc | Chiropractor | 507 Joseph Dr., Ste. 4, Harrodsburg, KY 40330 | 2007-12-19 |
| 1598947178 | Peggy E Kessler | Counselor | 712 Perryville Road, Harrodsburg, KY 40330 | 2007-12-05 |
| 1891994455 | Dr. Tammy G. Hoskins Optometry Psc | Optometrist | Harrodsburg Eye Center, 201 S Main St, Harrodsburg, KY 40330 | 2007-07-13 |
| 1508064171 | Angela Craig Logdon | Speech-Language Pathologist | 2200 Bohon Rd, Harrodsburg, KY 40330 | 2007-07-05 |
| Find all providers in zip 40330 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912515784 | Megan Elizabeth Robinson | Nurse Practitioner | 1542 Talmage Mayo Rd, Harrodsburg, KY 40330-9156 | 2020-07-17 |
| 1467070623 | Tabitha Humphrey | Nurse Practitioner | 483 Cane Run St, Harrodsburg, KY 40330-1269 | 2020-07-13 |
| 1306278882 | Jessica Lea Lester | Nurse Practitioner | 466 Linden Ave Ste B, Harrodsburg, KY 40330-1841 | 2013-08-06 |
| 1659616126 | Harrodsburg Family Practice Associates, LLC | Nurse Practitioner | 214 S Chiles St, Harrodsburg, KY 40330-1631 | 2012-12-10 |
| 1487746004 | Lynnelle Cain | Nurse Practitioner | 1509 Louisville Rd, Harrodsburg, KY 40330-8622 | 2006-09-29 |
| 1942792353 | Laurie Collins | Nurse Practitioner | 466 Linden Ave, Harrodsburg, KY 40330-1841 | 2018-05-31 |
| 1881195170 | Sabrina Wellman | Nurse Practitioner | 464 Linden Ave, Harrodsburg, KY 40330-1882 | 2018-02-22 |
| 1699216192 | Tamela Cook-mobley | Nurse Practitioner | 1509 Louisville Rd, Harrodsburg, KY 40330-8622 | 2017-03-16 |
| 1174988836 | The James B. Haggin Memorial Hospital Inc. | Nurse Practitioner | 466 Linden Ave, Suite A, Harrodsburg, KY 40330-1841 | 2015-12-23 |
| 1518392976 | The James B. Haggin Memorial Hospital Inc | Nurse Practitioner | 464 Linden Ave, Harrodsburg, KY 40330-1882 | 2013-09-04 |
| Find all providers in HARRODSBURG | ||||
| City | HARRODSBURG |
| Zip Code | 40330 |
Please comment or provide details below to improve the information on MRS. MARY ANGELA 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.