CASSIDY ANNE SMITH (NPI# 1114493731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114493731 |
| Entity Type | Individual |
| Full Name | CASSIDY ANNE SMITH |
| Credential | CO60751979 |
| Practice Address |
613 Superior Ln Yakima WA 98902-1623 |
| Mailing Address |
600 Superior Ln Yakima WA 98902-1623 |
| Practice Telephone | 5098534172 |
| Mailing Telephone | 5098534172 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60751979 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902398977 | Cassidy Smith | Specialist/Technologist | 2958 Kalei Rd, Honolulu, HI 96826-1801 | 2018-06-05 |
| 1083239693 | Cassidy Smith | Technician, Other | 795 Folsom St Fl 1, San Francisco, CA 94107-4226 | 2020-06-09 |
| 1659835619 | Cassidy Smith | Counselor | 495 E Main St, Columbus, OH 43215-5349 | 2019-01-24 |
| 1568931095 | Cassidy Jordan Smith | Behavior Technician | 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107 | 2018-11-14 |
| 1033686373 | Cassidy Allison Smith | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008 | 2018-10-24 |
| 1801318738 | Cassidy Rose Smith | Physician Assistant | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 | 2017-07-12 |
| 1548610975 | Cassidy Smith | Internal Medicine | 122 12th St, Princeton, WV 24740-2312 | 2016-06-16 |
| Street Address |
613 SUPERIOR LN |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386858363 | Yakima Valley Council On Alcoholism | Substance Abuse Rehabilitation Facility | 613 Superior Ln, Yakima, WA 98902-1623 | 2007-05-09 |
| 1982237905 | Judith Cardenas | Counselor | 613 Superior Ln, Yakima, WA 98902-1623 | 2020-02-18 |
| 1891326989 | Christy Amanda Wolfe | Counselor | 613 Superior Ln, Yakima, WA 98902-1623 | 2020-01-28 |
| 1508333626 | Virginia Sanchez | Counselor | 613 Superior Ln, Yakima, WA 98902-1623 | 2018-10-26 |
| 1770050809 | Mariah Athena Austin | Technician, Health Information | 613 Superior Ln, Yakima, WA 98902-1623 | 2018-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
| 1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
| 1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
| 1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
| 1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
| 1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
| 1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
| Find all providers in zip 98902 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918765 | Theresa A Hoisington-yanez | Counselor | 421 S 43rd St, Yakima, WA 98901-1504 | 2020-09-25 |
| 1699391573 | Guadalupe V Bazan Jr. | Counselor | 609 W Logan Ave, Yakima, WA 98902-5553 | 2020-06-17 |
| 1063977692 | Diana Lane Dewey | Counselor | 102 N 48th Ave, Yakima, WA 98908-3134 | 2019-02-07 |
| 1053875625 | Amanda Rose Rodriguez | Counselor | 1410 W Prasch Ave, Yakima, WA 98902-5377 | 2019-01-28 |
| 1720558711 | William Blair Ellis Jr. | Counselor | 611 W A St, Yakima, WA 98902-2605 | 2018-12-03 |
| 1427526524 | Tammy A. Kinter | Counselor | 7610 W Nob Hill Blvd Unit 231, Yakima, WA 98908-1942 | 2018-11-06 |
| 1760959290 | Conswaylo Ann Fleek | Counselor | 120 S. 3rd Ave., Yakima, WA 98901 | 2018-11-02 |
| 1366919359 | Laura Ann Johnston | Counselor | 605 Superior Ln, Yakima, WA 98902-1623 | 2018-10-27 |
| 1396212718 | Nancy Fraser | Counselor | 120 S. 3rd Street, Yakima, WA 98901 | 2018-10-24 |
| 1265916837 | Jasmine Nathaley Barrera-ledezma | Counselor | 2000 W Lincoln Ave Apt 19, Yakima, WA 98902-2477 | 2018-09-19 |
| Find all providers in YAKIMA | ||||
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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.