KELLEY SMODIC (NPI# 1083895965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083895965 |
| Entity Type | Individual |
| Full Name | KELLEY SMODIC |
| Credential | CRNP |
| Practice Address |
1117 Woodward Dr Suite 4 Greensburg PA 15601-7228 |
| Practice Telephone | 7248340432 |
| Practice Fax Number | 8889721731 |
| Mailing Telephone | 7248340432 |
| Mailing Fax Number | 8889721731 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | SP008361 | PA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
SP008361 | PA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
SP008361 | PA | Behavioral Health & Social Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
SP008361 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1117 WOODWARD DR SUITE 4 |
| City | GREENSBURG |
| State | PA |
| Zip Code | 15601-7228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274128 | Chelsea Anne Lyle | Counselor | Yaroch Counseling, 437 S Maple Ave, Greensburg, PA 15601 | 2020-10-26 |
| 1538649280 | Valor Healthcare Inc | Nurse Practitioner | 5274 Route 30 East, Suite 10, Greensburg, PA 15601 | 2018-08-21 |
| 1285121889 | Eugene Flenner Jr. | Orthotist | 3 Gibraltar Way, Greensburg, PA 15601 | 2018-04-18 |
| 1417461724 | Westmoreland County Area Agency On Aging | Case Management | 200 South Main St., Greensburg, PA 15601 | 2017-11-22 |
| 1225549769 | Beth Ann Marie Schmidle | Nurse Practitioner | 540 South Street - Medical Commons 2, Suite 302, Greensburg, PA 15601 | 2017-10-23 |
| 1386167138 | Connections Counseling of Western Pa | Community/Behavioral Health | 231 S Main Street, Suite 404, Greensburg, PA 15601 | 2017-07-24 |
| 1164963112 | Cory Kunicky | Counselor | 333 Harvey Avenue, Greensburgh, PA 15601 | 2017-03-10 |
| 1801348826 | Flow Spine & Sport LLC | Chiropractor | 123 Donohoe Drive, Greensburg, PA 15601 | 2016-10-25 |
| 1235583402 | Marc James Aukerman | Chiropractor | 424 Frye Farm Road, Greensburg, PA 15601 | 2016-04-14 |
| 1336502806 | Claire Campero | Counselor | One Northgate Square Ste 200, Greensburg, PA 15601 | 2016-04-01 |
| Find all providers in zip 15601 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768775 | Melissa Ann Davis | Nurse Practitioner | 1001 Georges Station Rd, Greensburg, PA 15601-6982 | 2020-10-20 |
| 1619518784 | Amy Stewart | Nurse Practitioner | 1117 Woodward Dr Ste 4, Greensburg, PA 15601-7228 | 2019-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152544 | Jeanne Denise Howell | Nurse Practitioner | 6019 Saddlehorn Dr, Erie, PA 16506-4721 | 2020-10-20 |
| 1770199341 | Nicole Kassandra Carissimi | Nurse Practitioner | 1618 S 19th St, Philadelphia, PA 19145-1439 | 2020-09-19 |
| 1548875875 | Marisa Savic | Nurse Practitioner | 1 Medical Center Blvd Ste 407, Chester, PA 19013-3902 | 2020-09-14 |
| 1972117976 | Matthew Hunter | Nurse Practitioner | 728 Westerly Pkwy, State College, PA 16801-4226 | 2020-09-07 |
| 1801400817 | Monarch Psychiatric Services, P.C. | Nurse Practitioner | 103 N Gilpin St Ste 306, Punxsutawney, PA 15767-2055 | 2020-09-07 |
| 1154934412 | Ashley Scott Foster | Nurse Practitioner | 1701 Timberidge Dr, Bethel Park, PA 15102-4043 | 2020-08-26 |
| 1699385146 | Renee Lucci | Nurse Practitioner | 15 Douglas St, Ambler, PA 19002-4941 | 2020-08-08 |
| 1184233660 | Care Therapy | Nurse Practitioner | 610 Pittsburgh St, Scottdale, PA 15683-1651 | 2020-07-30 |
| 1184233926 | Jessica L Parente | Nurse Practitioner | 4067 Howley St, Pittsburgh, PA 15224-1439 | 2020-07-28 |
| 1770192775 | Lisa Ghiloni | Nurse Practitioner | 6809 N 10th St, Philadelphia, PA 19126-2906 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBURG |
| Zip Code | 15601 |
Please comment or provide details below to improve the information on KELLEY SMODIC.
| 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.