MR. JOHNNY LEE SMITH (NPI# 1104971373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104971373 |
| Entity Type | Individual |
| Full Name | MR. JOHNNY LEE SMITH |
| Credential | APN |
| Practice Address |
502 West Court Jasper AR 72641 |
| Mailing Address |
Po Box 445 Jasper AR 72641-0445 |
| Practice Telephone | 8704462203 |
| Practice Fax Number | 8704462206 |
| Mailing Telephone | 8704462203 |
| Mailing Fax Number | 8704462206 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A01227 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457456865 | Johnny C Smith | Dentist | 740 N Texas, Deleon, TX 76444 | 2006-09-13 |
| 1831153451 | Johnny Sheldon Smith | Dentist | 7066 Highway 64, Oakland, TN 38060-4042 | 2006-04-12 |
| 1629075130 | Johnny Lee Smith | Dentist | 9276 W Union Hills Dr, Ste. A, Peoria, AZ 85382-8158 | 2005-06-30 |
| 1629310560 | Johnny Lee Smith | Respiratory Therapist, Registered | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2013-03-18 |
| 1114222809 | Johnny R Smith | Registered Nurse | 2301 S Eight Tribes Trl, Miami, OK 74354-1009 | 2011-01-11 |
| 1477688133 | Johnny Lee Smith | Counselor | 1301 California Ave, Bakersfield, CA 93304-1190 | 2007-02-22 |
| 1508935321 | Johnny L Smith | Physical Therapist | 23077 Greenfield Rd, Ste 250, Southfield, MI 48075-3709 | 2006-11-07 |
| 1841202892 | Johnny Y Smith | Family Medicine | 7037 St Andrews Road, Columbia, SC 29212 | 2006-08-11 |
| 1043239817 | Johnny Dwayne Smith | Family Medicine | 11 N Locust St, Buckhannon, WV 26201-2231 | 2006-07-19 |
| Street Address |
502 WEST COURT |
| City | JASPER |
| State | AR |
| Zip Code | 72641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467091439 | James Patrick Martin | Massage Therapist | 100 West South Street, Jasper, AR 72641 | 2019-12-23 |
| 1811442577 | Tember Mcneill | Chiropractor | 514 W. Clark Street, Suite 340, Jasper, AR 72641 | 2016-08-23 |
| 1598178493 | North Arkansas Regional Medical Center | Pediatrics | 609 W Clark, Jasper, AR 72641 | 2014-06-09 |
| 1740426287 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 504 West Court Street, Room 110, Jasper, AR 72641 | 2009-01-06 |
| 1912143280 | Linda Casey Sides | Nurse Practitioner | 502 W Court Street, Jasper, AR 72641 | 2008-12-17 |
| 1831359587 | Mary Dennise Pollyea | Social Worker | 105 Red Oak Lane, Jasper, AR 72641 | 2008-06-16 |
| 1720064223 | Jennifer Shepherd | Nurse Practitioner | 502 West Court Street., Jasper, AR 72641 | 2005-12-16 |
| 1780674143 | James B Justice | Family Medicine | 502 W Court, Jasper, AR 72641 | 2005-10-26 |
| 1588654982 | North Arkansas Regional Medical Center | Clinic/Center | 502 W Court St, Jasper, AR 72641 | 2005-10-26 |
| 1831599554 | Alternative Oppurtunities | Community/Behavioral Health | 504 W Court St, Jasper, AR 72641-0110 | 2014-08-29 |
| Find all providers in zip 72641 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659922789 | Annette Renae Klem | Nurse Practitioner | 670 Rumbach Ave, Jasper, IN 47546-3513 | 2019-09-20 |
| 1811558901 | Elaina Miranda Averett | Nurse Practitioner | 580 Hampton Farms Trl, Jasper, GA 30143-5571 | 2019-06-28 |
| 1003473877 | Tiffany Tolliver | Nurse Practitioner | 508 Deer Ridge Run, Jasper, AL 35503-5573 | 2019-05-28 |
| 1578063590 | Nicole Noreen Tucker | Nurse Practitioner | 134 Mountainside Village Pkwy Bldg 500, Jasper, GA 30143-8694 | 2018-02-16 |
| 1467989533 | Kathleen Ann Munning | Nurse Practitioner | 1950 Saint Charles St Ste 4, Jasper, IN 47546-9172 | 2017-05-18 |
| 1336687383 | Nina Martindale | Nurse Practitioner | 2400 County Road 138, Jasper, TX 75951 | 2017-02-09 |
| 1689111460 | Chris Hue Gilchriest Jr. | Nurse Practitioner | 541 Dogwood St, Jasper, TX 75951-5658 | 2017-01-31 |
| 1962949222 | Ace Beam | Nurse Practitioner | 3400 Highway 78 E Ste 215, Jasper, AL 35501-8950 | 2017-01-25 |
| 1376928770 | Elizabeth Jane Mckinley | Nurse Practitioner | 220 J L White Dr Ste 110, Jasper, GA 30143-4894 | 2015-07-27 |
| 1225415581 | Ashley Gilley | Nurse Practitioner | 744 Noah Dr Ste 108, Jasper, GA 30143-8704 | 2015-05-06 |
| Find all providers in JASPER | ||||
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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.