JEFFREY DEAN SMITH (NPI# 1164572483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164572483 |
| Entity Type | Individual |
| Full Name | JEFFREY DEAN SMITH |
| Credential | ATC |
| Practice Address |
7550 W. Village Circle Wichita KS 67205 |
| Mailing Address |
9905 Sw 15th St Towanda KS 67144-9007 |
| Practice Telephone | 3168382020 |
| Practice Fax Number | 3168387574 |
| Mailing Telephone | 3168382020 |
| Mailing Fax Number | 3168387574 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
24-00327 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437768207 | Jeffrey Michael Smith | Nurse Practitioner | 96 Sutton St, Northbridge, MA 01534-1003 | 2020-07-28 |
| 1558989582 | Jeffrey Smith | Registered Nurse | 9200 Basil Ct Ste 100, Upper Marlboro, MD 20774-5309 | 2020-07-07 |
| 1447723101 | Jeffrey Clinton Smith | Massage Therapist | 254 W Palmer Lake Dr, Pueblo West, CO 81007-2877 | 2019-01-05 |
| 1518457738 | Jeffrey David Smith | Student in an Organized Health Care Education/Training Program | 1400 Locust Street Ermire, Suite 11516, Pittsburgh, PA 15219-5114 | 2018-05-14 |
| 1992252100 | Jeffrey Smith | Community/Behavioral Health | 99 Royal Vista Dr Unit 408, Branson, MO 65616-6237 | 2016-09-06 |
| 1790132900 | Jeffrey Smith | Registered Nurse | 209 Cedar Grove Dr, Youngsville, LA 70592-5853 | 2016-05-17 |
| 1538586680 | Jeffrey Smith II | Counselor | 3300 N Tenaya Way Apt 2087, Las Vegas, NV 89129-7416 | 2014-03-26 |
| 1710316773 | Jeffrey Smith | Registered Nurse | 273 Hundred Oaks Pkwy, Summerville, SC 29483-8193 | 2013-11-10 |
| 1487901583 | Jeffrey Dean Smith Jr. | Licensed Vocational Nurse | 1782 W Columbia Way, Hanford, CA 93230-1104 | 2012-08-07 |
| 1326315870 | Jeffrey Paul Smith | Physical Therapy Assistant | 1625 Ocala Ave, Johnstown, PA 15902-3526 | 2011-11-29 |
| Street Address |
7550 W. VILLAGE CIRCLE |
| City | WICHITA |
| State | KS |
| Zip Code | 67205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992865646 | Todd Wayne Gaddis | Specialist/Technologist | 7550 W. Village Circle, Suite 1, Wichita, KS 67205 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211910 | Emily M Chastain | Dentist | 3213 N. Ridge Rd, Wichita, KS 67205 | 2018-07-16 |
| 1811415466 | Awaken Psychology LLC | Clinic/Center | 2552 N Maize Ct Suite 600, Wichita, KS 67205 | 2017-09-05 |
| 1962940288 | Moc Wichita LLC | Assisted Living Facility | 7057 W Village Circle, Wichita, KS 67205 | 2017-02-07 |
| 1003362732 | Moc Wichita, LLC | Assisted Living Facility | 7057 West Village Circle, Wichita, KS 67205 | 2016-09-01 |
| 1649637653 | Abigail Friend | Audiologist-Hearing Aid Fitter | 2558 Lake Way Circle, Wichita, KS 67205 | 2016-01-21 |
| 1134505399 | Myles Davidson | Dentist | 3510 N Ridge Rd Ste 500, Wichita, KS 67205 | 2015-08-10 |
| 1093121097 | The Eye Gallery, LLC | Optometrist | 3084 N. Maize Rd, Wichita, KS 67205 | 2014-07-10 |
| 1922428721 | Sam's West, Inc. | Technician/Technologist | 3084 N. Maize Road, Witchita, KS 67205 | 2014-04-18 |
| 1447693627 | Caryn Rana Landreth | Social Worker | 3114 N Brush Creek St, Wichita, KS 67205 | 2013-04-08 |
| 1902182686 | Return To Motion Medical | Durable Medical Equipment & Medical Supplies | 3221 N Ridge Port Circle, Wichita, KS 67205 | 2011-10-26 |
| Find all providers in zip 67205 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841749 | Mick Emerson Harris | Specialist/Technologist | 523 N Birkdale Ct, Wichita, KS 67230-1532 | 2020-11-03 |
| 1922611201 | Kylie Alexis Roberts | Specialist/Technologist | 7610 E 32nd St N Apt 702, Wichita, KS 67226-1284 | 2020-08-26 |
| 1467084947 | Alex Milby | Specialist/Technologist | 1043 N Post Oak Rd, Wichita, KS 67206-3829 | 2020-02-12 |
| 1457996001 | Haleigh Raeann Owens | Specialist/Technologist | 3100 W Mccormick Ave, Wichita, KS 67213-2008 | 2019-11-07 |
| 1801375183 | Joshua Gerard Elmer | Specialist/Technologist | 500 E Waterman St, Wichita, KS 67202-4509 | 2018-08-08 |
| 1689151227 | Serena Lynn Lytle | Specialist/Technologist | 620 S Richmond St, Wichita, KS 67213-2644 | 2018-07-26 |
| 1386162683 | Karlee Dawn Gluszek | Specialist/Technologist | 1947 S Lulu St, Wichita, KS 67211 | 2017-09-07 |
| 1649716069 | Weston Bucher | Specialist/Technologist | 1437 N Rochester St, Wichita, KS 67203-2647 | 2017-01-09 |
| 1487197000 | Dennis John Munk | Specialist/Technologist | 7903 W 19th St N, Wichita, KS 67212-1499 | 2016-11-30 |
| 1174987218 | Cris Dooley | Specialist/Technologist | 1999 N Amidon Ave Ste 100, Wichita, KS 67203-2122 | 2016-04-05 |
| Find all providers in WICHITA | ||||
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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.