RENEE R SMITH (NPI# 1174168710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174168710 |
| Entity Type | Individual |
| Full Name | RENEE R SMITH |
| Other Name | RENEE R DETTMAN |
| Credential | CNM,APNP |
| Practice Address |
720 S Vanburen St Suite 101 Green Bay WI 54301-3504 |
| Mailing Address |
Po Box 22487 Green Bay WI 54305-2487 |
| Practice Telephone | 9204333420 |
| Practice Fax Number | 9203386859 |
| Mailing Telephone | 9204457222 |
| Mailing Fax Number | 9204457289 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | 148970-32 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERICAN MIDWIFERY CERTIFICATION | CNM05317 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 744 S Webster Ave, Green Bay, WI 543013505 | 9204457222 | 9204457289 |
| 2641 Development Dr, Green Bay, WI 543114240 | 9203386868 | 9203386869 |
| 704 S Webster Ave, Green Bay, WI 543013528 | 9203386868 | 9203386869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760936942 | Renee Smith | Technician, Pathology | 18603 Blackmoor St, Detroit, MI 48234-3719 | 2016-08-05 |
| 1396084356 | Renee Cannon Smith | Registered Nurse | 10901 Wilson Blvd, Blythewood, SC 29016-9241 | 2013-02-11 |
| 1831441849 | Renee Marie Smith | Licensed Practical Nurse | 4213 Sibley Ave, Columbus, OH 43227-2458 | 2012-10-15 |
| 1457614844 | Renee Nichole Smith | Specialist | 10 Hemingway Ave Apt B44, New Rochelle, NY 10801-3245 | 2012-06-20 |
| 1427322064 | Renee Jean Smith | Physical Therapy Assistant | 1683a Garvin Rd, Cranberry Township, PA 16066-2301 | 2012-02-29 |
| 1942470463 | Renee A Smith | Licensed Practical Nurse | 16969 Ridge Rd, Holley, NY 14470-9344 | 2008-03-12 |
| 1881870673 | Renee W Smith | Counselor | 76-b Fulton Spring Dr, Alabaster, AL 35007 | 2008-01-11 |
| 1710030812 | Renee Elena Smith | Psychiatry & Neurology | 8301 Florence Ave Ste 301, Downey, CA 90240-3948 | 2007-01-19 |
| 1770632739 | Renee L Smith | Marriage & Family Therapist | 1515 S Oregon St, Yreka, CA 96097-3425 | 2007-01-09 |
| 1699714162 | Renee Smith | Pharmacist | 700 19th St S # 119, Birmingham, AL 35233-1927 | 2006-06-06 |
| Street Address |
720 S VANBUREN ST SUITE 101 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083682876 | Cheryl L Bailey | Obstetrics & Gynecology | 720 S Vanburen St, Suite 101, Green Bay, WI 54301-3504 | 2006-03-09 |
| 1366908923 | Dean Patrick Weycker | Nurse Practitioner | 720 S Vanburen St, Suite 303, Green Bay, WI 54301 | 2019-02-19 |
| 1710481742 | Rachel A Beck | Registered Nurse | 720 S Vanburen St, Suite 101, Green Bay, WI 54301 | 2018-03-23 |
| 1063922268 | Shirley M Jean-baptiste | Registered Nurse | 720 S Vanburen St, Green Bay, WI 54301-3534 | 2017-10-03 |
| 1225587512 | Sandra Renee Pelnar | Nurse Practitioner | 720 S Vanburen St, Suite 101, Green Bay, WI 54301 | 2016-09-27 |
| 1285181818 | Jennifer Lynn Cumicek | Nurse Practitioner | 720 S Vanburen St, Suite 201, Green Bay, WI 54301-3534 | 2016-09-01 |
| 1902210925 | Ryan D Kuefler | Obstetrics & Gynecology | 720 S Vanburen St, Green Bay, WI 54301-3504 | 2014-06-18 |
| 1679983183 | Bellin Memorial Hospital Inc | Nutritionist | 720 S Vanburen St, Suite 104, Green Bay, WI 54301-3538 | 2014-05-06 |
| 1104263532 | Bellin Memorial Hospital Inc | Surgery | 720 S Vanburen St, Suite 201, Green Bay, WI 54301-3534 | 2013-05-24 |
| 1497191951 | Bellin Memorial Hospital Inc | Clinic/Center | 720 S Vanburen St, Suite 101, Green Bay, WI 54301-3534 | 2013-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699247486 | Erin Joanne Broda | Advanced Practice Midwife | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2018-12-18 |
| 1942732219 | Amy Daily | Advanced Practice Midwife | 1381 W Mason St, Green Bay, WI 54303-2022 | 2017-03-28 |
| 1578807673 | Mary Katherine Williams | Advanced Practice Midwife | 1715 Dousman St, Green Bay, WI 54303-3211 | 2012-11-15 |
| 1598016719 | Natalie Larson | Advanced Practice Midwife | 1715 Dousman St, Green Bay, WI 54303-3211 | 2012-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447901 | Alyssa Redman | Advanced Practice Midwife | 9969 S 27th St # 3100, Franklin, WI 53132-9533 | 2020-08-14 |
| 1346875259 | Latasha S Brown | Advanced Practice Midwife | 1020 N 12th St # 107, Milwaukee, WI 53233-1308 | 2020-03-11 |
| 1346711108 | Brittany Nicole Froeming | Advanced Practice Midwife | 705 S University Ave Ste 300, Beaver Dam, WI 53916-3096 | 2018-12-05 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| 1326527425 | Billie Jo H Cornett | Advanced Practice Midwife | 8901 W Lincoln Ave Ste 411, West Allis, WI 53227-2409 | 2018-08-09 |
| 1346775905 | Elisabeth Mary Schoofs Ziebell | Advanced Practice Midwife | 3535 N Maryland Ave, Shorewood, WI 53211-2512 | 2017-04-20 |
| 1720336274 | Gretchen E Mccool | Advanced Practice Midwife | 1020 N 12th St Ste 107, Milwaukee, WI 53233 | 2012-08-15 |
| 1346546827 | Amy Jean Crofts | Advanced Practice Midwife | 605 E Court St, Viroqua, WI 54665-1720 | 2011-02-01 |
| 1275796625 | Mary Moore | Advanced Practice Midwife | 4118 Winnemac Ave, Madison, WI 53711-1645 | 2008-07-07 |
| 1326131178 | Mary Denise Doerr | Advanced Practice Midwife | 322 N Dunlap Ave, Viroqua, WI 54665-1321 | 2006-10-02 |
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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.