KAITLYN SMITH (NPI# 1083034946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083034946 |
| Entity Type | Individual |
| Full Name | KAITLYN SMITH |
| Practice Address |
765 Route 10 E Ste 201 Randolph NJ 07869-1925 |
| Mailing Address |
105 Raider Blvd Suite 101 Hillsborough NJ 08844-1528 |
| Practice Telephone | 9734791128 |
| Mailing Telephone | 9734791129 |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2015-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 26NJ00498600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
26NJ00498600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
26NJ00498600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245798032 | Kaitlyn Smith | Clinic/Center | 343 Salem Gate Dr Se Ste 100, Conyers, GA 30013-1783 | 2019-03-11 |
| 1780169193 | Kaitlyn L Smith | Physical Therapist | 3400 E Rezanof Dr, Kodiak, AK 99615-6953 | 2018-10-02 |
| 1659850113 | Kaitlyn J Smith | Physical Therapist | 402 Eureka St, Ripon, WI 54971 | 2018-08-07 |
| 1518467497 | Kaitlyn Elizabeth Smith | Student in an Organized Health Care Education/Training Program | 22410 Bard Ave, Fairview Park, OH 44126-2900 | 2018-02-16 |
| 1942756796 | Kaitlyn A Smith | Pharmacist | 2425 S. Grayling Ave., Grayling, MI 49738 | 2016-08-31 |
| 1659643930 | Kaitlyn Mae Cremer Smith | Occupational Therapist | 151 W Ranch Trl, Palatka, FL 32177-7775 | 2012-02-02 |
| 1053912360 | Kaitlyn Smith | Social Worker | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2020-11-03 |
| 1689273609 | Kaitlyn Smith | Pharmacist | 53 Exchange St, Richmond Hill, GA 31324-7600 | 2020-10-21 |
| 1548871239 | Kaitlyn Rose Smith | Speech-Language Pathologist | 2127 W Overland Rd, Boise, ID 83705-3149 | 2020-08-14 |
| 1922619196 | Kaitlyn Marie Smith | Speech-Language Pathologist | 45 Westwood Dr, Simsbury, CT 06070-1719 | 2020-08-12 |
| Street Address |
765 ROUTE 10 E STE 201 |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869-1925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104894989 | Barbara Baggstrom | Nurse Practitioner | 765 Route 10 E, Ste 203, Randolph, NJ 07869-1925 | 2006-03-09 |
| 1003362195 | Lindsay Elizabeth Kellogg | Nurse Practitioner | 765 Route 10 E, Suite 201, Randolph, NJ 07869-1925 | 2016-08-29 |
| 1518380963 | Francine Schuster | Nurse Practitioner | 765 Route 10 E, Suite 201, Randolph, NJ 07869-1925 | 2014-01-21 |
| 1023360740 | Whole Health Physical Therapy | Clinic/Center | 765 Route 10 E, Suite 106, Randolph, NJ 07869-1925 | 2012-10-04 |
| 1952688079 | Sally A Deeney | Nurse Practitioner | 765 Route 10 E, Suite 201, Randolph, NJ 07869-1925 | 2011-11-03 |
| 1366721698 | Melanie Rouse Valentin-torres | Internal Medicine | 765 Route 10 E, Suite 201, Randolph, NJ 07869-1925 | 2011-08-04 |
| 1184917437 | Angela Marie Giordano | Nurse Practitioner | 765 Route 10 E, Suite 201, Randolph, NJ 07869-1925 | 2011-05-19 |
| 1134429111 | Sireesha B Reddy | Internal Medicine | 765 Route 10 E, Randolph, NJ 07869-1925 | 2010-10-25 |
| 1770894982 | Nancy Jameson Dreher | Nurse Practitioner | 765 Route 10 E, Randolph, NJ 07869-1925 | 2010-06-23 |
| 1275778409 | Mansi A Patel | Physical Therapist | 765 Route 10 E, Suite 106, Randolph, NJ 07869-1925 | 2008-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| Find all providers in zip 07869 | ||||
| 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 |
|---|---|---|---|---|
| 1124599055 | Caring Healthcare Services LLC | Nurse Practitioner | 32 Bossi Ave, Randolph, MA 02368-2002 | 2018-12-17 |
| 1558803676 | Danielle Trenelli | Nurse Practitioner | 40 Windsor Ave, Randolph, NJ 07869-1363 | 2016-11-07 |
| 1518292325 | Bernadette Barry | Nurse Practitioner | 39 Barbara Dr, Randolph, NJ 07869-4143 | 2009-10-12 |
| 1104894989 | Barbara Baggstrom | Nurse Practitioner | 765 Route 10 E, Ste 203, Randolph, NJ 07869-1925 | 2006-03-09 |
| 1447700919 | David Mathies | Nurse Practitioner | 44 S Main St, Randolph, VT 05060-1381 | 2016-10-09 |
| 1003362195 | Lindsay Elizabeth Kellogg | Nurse Practitioner | 765 Route 10 E, Suite 201, Randolph, NJ 07869-1925 | 2016-08-29 |
| 1518380963 | Francine Schuster | Nurse Practitioner | 765 Route 10 E, Suite 201, Randolph, NJ 07869-1925 | 2014-01-21 |
| 1134555378 | Meghan Degraw | Nurse Practitioner | 765 Route 10 E Ste 201, Randolph, NJ 07869-1925 | 2013-09-19 |
| 1609020916 | Megan L O'brien | Nurse Practitioner | 44 S Main St, Randolph, VT 05060-1381 | 2008-11-13 |
| 1487860102 | Annmarie Hayes | Nurse Practitioner | 1395 N Main St, Randolph, MA 02368-1768 | 2007-05-16 |
| Find all providers in RANDOLPH | ||||
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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.