KRISTY SMITH (NPI# 1104391952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104391952 |
| Entity Type | Individual |
| Full Name | KRISTY SMITH |
| Practice Address |
3231 S Gulley Rd Ste E Dearborn MI 48124-4405 |
| Mailing Address |
620 Germantown Pike Lafayette Hill PA 19444-1810 |
| Practice Telephone | 3132782327 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407140155 | Kristy L Smith | Community Health Worker | 2535 Shadow View Cir, Maitland, FL 32751-7517 | 2011-05-29 |
| 1033314067 | Kristy Dawn Smith | Physical Therapy Assistant | 1205 Mcgregor Rd, Nortonville, KY 42442-9770 | 2007-06-19 |
| 1497878870 | Kristy Michelle Smith | Speech-Language Pathologist | 110 Delarose Ct Sw, Atlanta, GA 30349-1268 | 2007-04-09 |
| 1598375552 | Kristy Smith | Counselor | 210 Avenue C, Danville, IL 61832-5410 | 2020-08-05 |
| 1427600790 | Kristy Marie Smith | Nurse Practitioner | 3503 Cumberland Ave, Middlesboro, KY 40965-2611 | 2019-07-16 |
| 1144721846 | Kristy Smith | Psychologist | 1810 Back Creek Dr., Charlotte, NC 28213-2159 | 2018-02-27 |
| 1548624687 | Kristy Smith | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2016-04-05 |
| 1700256179 | Kristy Smith | Specialist/Technologist | 265 N Michigan Ave, Coldwater, MI 49036-1528 | 2015-09-29 |
| 1093182636 | Kristy Smith | Pharmacist | 307 Beaman St, Clinton, NC 28328-2907 | 2015-08-31 |
| 1740683697 | Kristy Smith | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2014-10-07 |
| Street Address |
3231 S GULLEY RD STE E |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396166476 | Shavaughn Young | Technician, Other | 3231 S Gulley Rd Ste E, Dearborn, MI 48124-4405 | 2013-12-17 |
| 1326695594 | Alicia Carmona | Technician, Other | 3231 S Gulley Rd Ste E, Dearborn, MI 48124-4405 | 2019-08-22 |
| 1053966937 | Andrew Hauk | Technician, Other | 3231 S Gulley Rd Ste E, Dearborn, MI 48124-4405 | 2019-08-07 |
| 1073165114 | Lonnie Williams IIi | Technician, Other | 3231 S Gulley Rd Ste E, Dearborn, MI 48124-4405 | 2019-07-09 |
| 1841842960 | Jaronica Marie Whitehead | Technician, Other | 3231 S Gulley Rd Ste E, Dearborn, MI 48124-4405 | 2019-07-09 |
| 1467014795 | Jalissa Poole | Technician, Other | 3231 S Gulley Rd Ste E, Dearborn, MI 48124-4405 | 2019-07-08 |
| 1831751080 | Sabrine Bazzi | Technician, Other | 3231 S Gulley Rd Ste E, Dearborn, MI 48124-4405 | 2019-07-08 |
| 1578124392 | Lindsey Marie Tregenza | Technician, Other | 3231 S Gulley Rd Ste E, Dearborn, MI 48124-4405 | 2019-06-24 |
| 1003473075 | Amir Huston | Technician, Other | 3231 S Gulley Rd Ste E, Dearborn, MI 48124-4405 | 2019-05-23 |
| 1902463128 | Nawal Darwish | Technician, Other | 3231 S Gulley Rd Ste E, Dearborn, MI 48124-4405 | 2019-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| 1356839781 | Crystal Rose Potter | Technician, Other | 3231 Gulley Rd, Dearborn, MI 48124 | 2018-05-01 |
| 1073018727 | Anthony Stone | Technician, Other | 3231 S. Gulley Rd, Suite E, Dearborn, MI 48124 | 2018-03-26 |
| 1518469519 | Olivia Berry | Technician, Other | 6401 Steadman St, Dearborn, MI 48126-2056 | 2018-03-06 |
| 1164922738 | Zeinab Faraj | Technician, Other | 6306 Schaefer Rd, Dearborn, MI 48126-2285 | 2018-02-20 |
| 1447773155 | Taneisha Sims | Technician, Other | 3231 S. Gulley Rd., Dearborn, MI 48124 | 2017-07-25 |
| 1104378405 | Leah Katherine Keilman | Technician, Other | 22044 Olmstead St, Dearborn, MI 48124-2754 | 2016-11-03 |
| 1922557016 | Zeinab Saleh | Technician, Other | 7053 Kingsley St, Dearborn, MI 48126-1942 | 2016-09-29 |
| 1417405580 | Souad Saleh | Technician, Other | 5137 Horger St, Dearborn, MI 48126-3112 | 2016-09-16 |
| 1033667316 | Wael Dimachk | Technician, Other | 7444 Steadman St, Dearborn, MI 48126-1316 | 2016-09-15 |
| Find all providers in DEARBORN | ||||
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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.