ROSE SMITH (NPI# 1184163578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184163578 |
| Entity Type | Individual |
| Full Name | ROSE SMITH |
| Credential | PMHNP |
| Practice Address |
400 Sunrise Hwy Amityville NY 11701-2508 |
| Mailing Address |
18 Annetta Ave Northport NY 11768-1802 |
| Practice Telephone | 6316085610 |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2018-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN2310398 | MA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
402327 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1184163578 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618097 | Rose Smith | Technician | 702 Agee Ave, Selma, AL 36701-4831 | 2019-09-17 |
| 1801297957 | Rose L Smith | Counselor | 1005 Cup Leaf Holly Ct, Great Falls, VA 22066-1218 | 2014-09-09 |
| 1063766525 | Rose Monique Smith | Social Worker | 8244 Shinkansen Dr, Charlotte, NC 28213-5374 | 2012-11-06 |
| 1548585938 | Rose Merle Smith | Registered Nurse | 101 Alkier St, Brentwood, NY 11717-4908 | 2010-03-29 |
| 1396901153 | Rose Marie Smith | Licensed Practical Nurse | 93601 Bay Park Ln, Coos Bay, OR 97420-3781 | 2008-07-31 |
| 1629047493 | Rose Smith | Physical Therapist | 2920 Scioto St, Cincinnati, OH 45219-2072 | 2006-03-15 |
| 1558717769 | Rose Smith | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2016-05-05 |
| 1932598828 | Rose Hickman Smith | Marriage & Family Therapist | 4519 Admiralty Way, Suite 202b, Marina Del Rey, CA 90292-5441 | 2015-01-14 |
| 1629415658 | Rose Varn Smith | Speech-Language Pathologist | 1500 Chadford Rd, Irmo, SC 29063-2038 | 2013-05-31 |
| 1942572854 | Rose Marie Smith | Physical Therapy Assistant | 257 Sw Dade St, Madison, FL 32340-2361 | 2012-02-08 |
| Street Address |
400 SUNRISE HWY |
| City | AMITYVILLE |
| State | NY |
| Zip Code | 11701-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568459204 | The Long Island Home | Psychiatric Hospital | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2005-09-27 |
| 1225636749 | Gina Cornwall | Nurse Practitioner | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2020-10-16 |
| 1699380675 | Victoria Lauren Baio | Social Worker | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2020-09-15 |
| 1194330555 | Kelly Durkin | Social Worker | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2020-09-12 |
| 1558982009 | Angela Jessica Tatis | Registered Nurse | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2020-05-06 |
| 1467072058 | Kristen Murphy | Counselor | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2020-04-23 |
| 1003454836 | Victoria Lyn Spahn | Counselor | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2019-12-11 |
| 1356989180 | Iasia Quick | Counselor | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2019-12-11 |
| 1023650116 | Andrea Michelle Puccio | Social Worker | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2019-10-10 |
| 1548829443 | Emily Smith | Art Therapist | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2019-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013427400 | Katya Cabrera | Licensed Practical Nurse | 8 Coolidge Ave, North Amityville, NY 11701 | 2017-10-11 |
| 1750800405 | Laura M Sabatino-jan | Nurse Practitioner | 65 S. Emerson Avenue, Amity Harbor, NY 11701 | 2017-09-13 |
| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
| 1588193874 | Allison Herzog | Specialist | 41 Terry Avenue, Amityville, NY 11701 | 2017-06-08 |
| 1962949677 | Sherlin Golbari | Physician Assistant | 317 Broadway Suite A, Amytyville, NY 11701 | 2017-01-20 |
| 1598129710 | Yoko Shiraiwa | Nurse Practitioner | 78 Ocean Avenue, Amityville, NY 11701 | 2016-04-13 |
| 1891158820 | Grace Ann Budde | Health Educator | 30 S Ireland Pl, Amityville, NY 11701 | 2016-03-29 |
| 1720445497 | Sabrina A Rahman | Pharmacist | 355 A Broadway, Amityville, NY 11701 | 2016-01-26 |
| 1902245335 | Darlene Marie Mccurty | Specialist | 125 Larsen Dr, Amityville, NY 11701 | 2013-06-19 |
| 1457613507 | Edria Parks | Specialist | 14 Wanser Pl, Amityville, NY 11701 | 2012-06-14 |
| Find all providers in zip 11701 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636749 | Gina Cornwall | Nurse Practitioner | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2020-10-16 |
| 1609394733 | John Daniel Prato | Nurse Practitioner | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2017-09-08 |
| 1114475381 | Joanna Drucker | Nurse Practitioner | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2016-09-16 |
| 1114397999 | Cindy Mauzoul | Nurse Practitioner | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2015-10-06 |
| 1891050647 | Joseph Amnawah | Nurse Practitioner | 400 Sunrise Hwy, Amityville, NY 11701 | 2012-07-09 |
| 1346515129 | June Arlene Feinstein | Nurse Practitioner | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2012-03-13 |
| 1720389356 | Susan Gisonda | Nurse Practitioner | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2010-11-12 |
| 1083946602 | Joseph P Saladino | Nurse Practitioner | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2010-02-07 |
| 1245562859 | Ann E Perry-blizzard | Nurse Practitioner | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2010-02-06 |
| 1417180001 | Paula Sueho | Nurse Practitioner | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2009-08-28 |
| Find all providers in AMITYVILLE | ||||
| City | AMITYVILLE |
| Zip Code | 11701 |
Please comment or provide details below to improve the information on ROSE SMITH.
| 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.