TRACEY SIMONE SMITH (NPI# 1144711938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144711938 |
Entity Type | Individual |
Full Name | TRACEY SIMONE SMITH |
Credential | FNP |
Practice Address |
228 Logan St Fl 1a Brooklyn NY 11208-1965 |
Practice Telephone | 3474797266 |
Mailing Telephone | 3474797266 |
Enumeration Date | 2018-05-29 |
Last Update Date | 2020-07-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WH1000X |
Registered Nurse Specialization: Hospice |
661055-1 | NY | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F-343235 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952948572 | Tracey Smith | Technician | 234 Jefferson St Nw, Washington, DC 20011-6630 | 2019-12-02 |
1417512039 | Tracey Denise Smith | Nurse Practitioner | 12453 Charlotte St, Kansas City, MO 64146-1310 | 2019-05-08 |
1851759914 | Tracey Lyn Smith | Driver | 1212 Faussett Rd, Howell, MI 48855-7205 | 2016-02-04 |
1790107357 | Tracey Lee Smith | Physician Assistant | 1970-c West Arlington Blvd, Greenville, NC 27837-5783 | 2014-01-15 |
1386989226 | Tracey A Smith | Licensed Practical Nurse | 1210 15th St Ne, Canton, OH 44705-1208 | 2012-12-04 |
1356470751 | Tracey Lynn Smith | Physical Therapist | 167 Smith Rd, Lake Ronkonkoma, NY 11779-2213 | 2007-03-04 |
1295385706 | Tracey Ann Smith | Speech-Language Pathologist | 6101 N State Line Ave, Texarkana, TX 75503-5309 | 2019-09-17 |
1427513324 | Tracey Smith | Physician Assistant | 1107 Eaton Ave, Bethlehem, PA 18018-1862 | 2019-02-05 |
1720582174 | Tracey Jean Smith | Technician, Pathology | 710 N Main St, Clinton, TN 37716-3143 | 2018-03-21 |
1821505652 | Tracey Smith | Counselor | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2018-01-02 |
Street Address |
228 LOGAN ST FL 1A |
City | BROOKLYN |
State | NY |
Zip Code | 11208-1965 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316595564 | Danielle Sharaby-glasser | Nurse Practitioner | Franklin K Lane School Based Health Center, 999 Jamaica Avenue, Brooklyn, NY 11208 | 2019-08-30 |
1205320769 | Lucrece Bonostro | Nurse Practitioner | 1804 Liberty Avenue, Brooklyn, NY 11208 | 2018-06-19 |
1952824682 | Jeniffer Zephyrine | Psychologist | 318 Milford St, Brooklyn, NY 11208 | 2017-07-25 |
1518408822 | Lavern Souvenir | Licensed Practical Nurse | 502 Cleveland, Brooklyn, NY 11208 | 2017-03-20 |
1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
1477098606 | Robert Terrelonge | Registered Nurse | 791 Drew St, Brooklyn, NY 11208 | 2016-12-26 |
1881140606 | Mana Traore | Social Worker | 761 Essex Street, Brooklyn, NY 11208 | 2016-08-31 |
1699121079 | Sarah Bipath | Speech-Language Pathologist | 2944 Pitkin Ave, Brooklyn, NY 11208 | 2016-05-04 |
1184087074 | Instacareems | Special Hospital | 688 Crescent Street, Brooklyn, NY 11208 | 2016-03-30 |
1073988549 | Mutiat Yusuf | Licensed Practical Nurse | 675 Lincoln Avenue Apt 11m, Brooklyn, NY 11208 | 2015-12-09 |
Find all providers in zip 11208 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
1710588389 | Patricia Ayozie | Nurse Practitioner | 587 E 86th St Fl 2, Brooklyn, NY 11236-3226 | 2020-11-02 |
1598363657 | Anna Kleyner | Nurse Practitioner | 2730 Neptune Ave, Brooklyn, NY 11224-2060 | 2020-10-12 |
1861090193 | Cheyenne Alexia James | Nurse Practitioner | 358 Halsey St, Brooklyn, NY 11216-2412 | 2020-10-09 |
1821605213 | Dudmire Belizaire | Nurse Practitioner | 1267 Ryder St, Brooklyn, NY 11234-2816 | 2020-09-29 |
1003423716 | Iris Yuen | Nurse Practitioner | 8609 18th Ave, Brooklyn, NY 11214-3701 | 2020-09-26 |
1144832833 | Julia Kogan | Nurse Practitioner | 2544 E 23rd St, Brooklyn, NY 11235-2506 | 2020-08-23 |
Find all providers in BROOKLYN |
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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.