MARTHA SMITH (NPI# 1083716450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083716450 |
| Entity Type | Individual |
| Full Name | MARTHA SMITH |
| Credential | CFNP |
| Practice Address |
3801 E Us Highway 377 Ste 100 Granbury TX 76049-7620 |
| Mailing Address |
400 York Ln Lipan TX 76462-1009 |
| Practice Telephone | 8175731380 |
| Practice Fax Number | 8175731381 |
| Mailing Telephone | 6017502617 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
913084 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 365622501 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 360 Simpson Highway 149, Suite 150, Magee, MS 391113841 | 6018491236 | 6018491890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619590908 | Martha Smith | Student in an Organized Health Care Education/Training Program | 246 Knight Dream St, Delaware, OH 43015-3404 | 2020-05-21 |
| 1962824813 | Martha Megan Smith | Speech-Language Pathologist | 3461 Barbourville Rd, London, KY 40744-9529 | 2014-01-13 |
| 1538417852 | Martha Marie Smith | Registered Nurse | 490 Bucks Corners Rd, Saranac, NY 12981-3514 | 2012-08-16 |
| 1780969261 | Martha Michelle Smith | Physical Therapy Assistant | 280 Pinehurst Ave Ste 6, Southern Pines, NC 28387-7089 | 2011-10-17 |
| 1366493736 | Martha Smith | Pediatrics | 9 Family Practice Dr, Kingston, NY 12401-6449 | 2006-05-12 |
| 1225098940 | Martha Rachel Smith | Social Worker | 4525 Gilead Way, Salt Lake City, UT 84124-4017 | 2006-03-25 |
| 1134776008 | Martha J Smith | Registered Nurse | 711 S Muskogee Ave, Tahlequah, OK 74464-4717 | 2019-08-24 |
| 1336705490 | Martha Marie Smith | Specialist/Technologist | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-05-14 |
| 1669989539 | Martha Smith | Behavioral Analyst | 15 Saunders Way Ste 900, Westbrook, ME 04092-4836 | 2018-01-02 |
| 1285069112 | Martha Lynn Smith | Nurse Practitioner | 20 Chapel St, Sherburne, NY 13460 | 2013-09-11 |
| Street Address |
3801 E US HIGHWAY 377 STE 100 |
| City | GRANBURY |
| State | TX |
| Zip Code | 76049-7620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605615 | Tana Marie Holstein | Nurse Practitioner | 3801 E Us Highway 377 Ste 100, Granbury, TX 76049-7620 | 2019-12-08 |
| 1821519430 | Summer Warren Cargill | Nurse Practitioner | 3801 E Us Highway 377 Ste 100, Granbury, TX 76049-7620 | 2017-07-05 |
| 1306384029 | Rachel Leigh Sanders | Nurse Practitioner | 3801 E Us Highway 377 Ste 100, Granbury, TX 76049-7620 | 2017-02-01 |
| 1730571357 | Cristal N Hall | Nurse Practitioner | 3801 E Us Highway 377 Ste 100, Granbury, TX 76049-7620 | 2015-02-19 |
| 1194060947 | Julie D Damron | Nurse Practitioner | 3801 E Us Highway 377 Ste 100, Granbury, TX 76049-7620 | 2012-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743802 | Debra Lynn Shearon | Nurse Practitioner | 3605 Pecan Arbor Ct, Granbury, TX 76049 | 2020-03-02 |
| 1841783255 | Adrienne Rhodes Montgomery | Dentist | 2600 James Rd Ste 100, Granbury, TX 76049 | 2018-06-11 |
| 1760920656 | Natalie Marie Alvarez | Occupational Therapist | 802 Rambling Ct, Granbury, TX 76049 | 2017-02-10 |
| 1982048948 | Luke A Chambless | Radiology | 5820 Long Drive, Granbury, TX 76049 | 2013-04-22 |
| 1053682732 | Mollie M Van Deusen | Counselor | 4425 E Hyw 377, Suite 116, Granbury, TX 76049 | 2012-01-26 |
| 1730469545 | Modern Dental Professionals Dallas/ft. Worth PC | Dentist | 3902 E. Us Highway 377, #100, Granbury, TX 76049 | 2011-08-24 |
| 1417242926 | H-e-b, Lp | Clinical Medical Laboratory | 3804 East Us Highway 377, Granbury, TX 76049 | 2011-06-13 |
| 1760502199 | Rebecca S. Shank Md Pa | Psychiatry & Neurology | 2003 Rockview Dr., Granbury, TX 76049 | 2007-03-30 |
| 1093843179 | Jason A Berry Dds Pa | Dentist | 2600 James Road, Ste #100, Granbury, TX 76049 | 2007-03-01 |
| 1265576516 | Darren Keith George | Family Medicine | 2003 Rockview Drive, Granbury, TX 76049 | 2007-02-19 |
| Find all providers in zip 76049 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870959 | Lyndi Armstrong | Nurse Practitioner | 6027 Acton Meadows Ct, Granbury, TX 76049-5294 | 2020-07-31 |
| 1033743802 | Debra Lynn Shearon | Nurse Practitioner | 3605 Pecan Arbor Ct, Granbury, TX 76049 | 2020-03-02 |
| 1790322279 | Jillian Kelcie Moody | Nurse Practitioner | 805 Hill Blvd Unit 103, Granbury, TX 76048-1482 | 2019-12-04 |
| 1477946648 | Adriana Brown | Nurse Practitioner | 805 Hill Blvd., #104, Granbury, TX 76048 | 2015-03-12 |
| 1043584329 | Monica D Lee | Nurse Practitioner | 1322 Paluxy Rd Ste 2, Granbury, TX 76048-5603 | 2012-03-03 |
| 1093755704 | Haskell Ray Derryberry | Nurse Practitioner | 1322 Paluxy Rd, Suite #2, Granbury, TX 76048-5603 | 2006-06-08 |
| 1528605615 | Tana Marie Holstein | Nurse Practitioner | 3801 E Us Highway 377 Ste 100, Granbury, TX 76049-7620 | 2019-12-08 |
| 1730676321 | Susan Lynn Smithwick | Nurse Practitioner | 805 Hill Blvd Unit 102, Granbury, TX 76048-1482 | 2018-04-18 |
| 1932619848 | Sydney Nicole Styron | Nurse Practitioner | 601 Fall Creek Hwy, Granbury, TX 76049-7960 | 2017-10-05 |
| 1821519430 | Summer Warren Cargill | Nurse Practitioner | 3801 E Us Highway 377 Ste 100, Granbury, TX 76049-7620 | 2017-07-05 |
| Find all providers in GRANBURY | ||||
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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.