MONIQUE DASE SMITH (NPI# 1174796247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174796247 |
| Entity Type | Individual |
| Full Name | MONIQUE DASE SMITH |
| Other Name | MONIQUE CHANTRELL DASE |
| Credential | M.D. |
| Practice Address |
1650 Cowles St. Fairbanks AK 99705 |
| Practice Telephone | 9074585250 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2014-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
7667 | AK | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD0000048750 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1600801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235505520 | Monique Smith | Licensed Practical Nurse | 17927 N Parkview Pl, Surprise, AZ 85374-3441 | 2015-08-20 |
| 1629335757 | Monique Smith | Licensed Practical Nurse | 294 Dutch Hill Rd, West Monroe, NY 13167 | 2012-04-13 |
| 1154628725 | Monique Smith | Social Worker | 3 Liberty Pl, Suite 6, Baltimore, MD 21244-2059 | 2011-02-17 |
| 1518145614 | Monique Smith | Specialist | 124 Storms Ave, Jersey City, NJ 07306-4727 | 2008-01-31 |
| 1033393236 | Monique Shavonne Smith | Occupational Therapy Assistant | 3601 Andrews Hwy Apt 803, Midland, TX 79703-4956 | 2007-12-24 |
| 1033255674 | Monique E Smith | Family Medicine | 730 Forrestal St Bldg 3775, Kingsville, TX 78363-5112 | 2007-01-30 |
| 1972101376 | Monique Smith | Behavior Technician | 1200 Concord Ave Ste 100, Concord, CA 94520-4969 | 2020-10-16 |
| 1912542960 | Monique Smith | Behavior Technician | 2505 Se Lee Blvd, Lawton, OK 73501-6302 | 2019-11-14 |
| 1699214379 | Monique Smith | Social Worker | 1942 E Cantrell St, Decatur, IL 62521-3214 | 2017-02-15 |
| 1528518388 | Monique Lynnette Smith | Nurse Practitioner | 10 E Hospital St, Manning, SC 29102-3153 | 2016-10-05 |
| Street Address |
1650 COWLES ST. |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508815 | Madison Grove | Behavioral Analyst | 203 S. Santa Claus Lane, North Pole, AK 99705 | 2018-11-27 |
| 1104393123 | Jessica Marie Childress | Behavioral Analyst | 203 Santa Clause, North Pole, AK 99705 | 2018-10-29 |
| 1346722279 | Kimberly Shriner | Student in an Organized Health Care Education/Training Program | 1970 Hollowell Rd, North Pole, AK 99705 | 2018-09-06 |
| 1780108993 | Tracy Norris | Behavior Technician | 1000 Borda St., North Pole, AK 99705 | 2017-07-29 |
| 1912134420 | Donald Jermome Kosatka | Psychiatry & Neurology | Building 4066 602nd Street, Bassett Army Community Hospital, Fort Wainwright, AK 99705 | 2009-06-11 |
| 1376742494 | Vicki Elaine Readnour | Physical Therapist | 167-b Santa Claus Lane, North Pole, AK 99705 | 2007-07-18 |
| 1114091527 | Helyn M Lefgren | Family Medicine | 145 Santa Claus Lane, North Pole, AK 99705 | 2006-11-17 |
| 1174695803 | Eric P Buetow | Dentist | 2933 Horseshoe Way, North Pole, AK 99705 | 2006-11-15 |
| 1770578296 | North Pole Prescription Laboratory Inc | Pharmacy | 167 Santa Claus Lane, North Pole, AK 99705 | 2005-09-12 |
| 1972795714 | Peter Marshall, M.d. | Clinic/Center | 145 Santa Claus Lane, North Pole, AK 99705 | 2007-08-15 |
| Find all providers in zip 99705 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639240740 | Mikki Barker | Psychiatry & Neurology | 225 Wendell Ave, Suite B, Fairbanks, AK 99701-4835 | 2006-11-11 |
| 1275556144 | Sasha Elizabeth Ericksen | Psychiatry & Neurology | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 | 2006-07-25 |
| 1225099765 | Richard Calvin Brown Jr. | Psychiatry & Neurology | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2006-03-31 |
| 1134190770 | Patrick D Dean | Psychiatry & Neurology | 1650 Cowles Street, Fairbanks, AK 99701 | 2006-01-31 |
| 1689668089 | Kimberly A Sherrill | Psychiatry & Neurology | 315 5th Ave, Fairbanks, AK 99701-5025 | 2005-08-31 |
| 1265425417 | Adam Miguel Estevez | Psychiatry & Neurology | 160 Cowles St, Fairbanks Memorial Hospital, Fairbanks, AK 99701-4459 | 2005-08-23 |
| 1396003455 | Morgan Birrell Liddell | Psychiatry & Neurology | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 | 2012-04-26 |
| 1972873784 | Nurses Diversified Systems, Inc | Psychiatry & Neurology | 407 5th Ave, Fairbanks, AK 99701-4715 | 2012-01-10 |
| 1932350691 | Joseph R Deitz | Psychiatry & Neurology | 122 1st Ave Ste 600, Fairbanks, AK 99701 | 2008-09-30 |
| 1033308002 | Beringia Mental Health LLC | Psychiatry & Neurology | 225 Wendell St, Ste B, Fairbanks, AK 99701-4835 | 2007-10-16 |
| Find all providers in FAIRBANKS | ||||
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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.