CARMEN SMITH (NPI# 1235599374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235599374 |
| Entity Type | Individual |
| Full Name | CARMEN SMITH |
| Credential | A.T.C., L.A.T. |
| Practice Address |
11130 Parkview Circle Dr Fort Wayne IN 46845-1735 |
| Mailing Address |
5923 Kristie Ln Fort Wayne IN 46816-1839 |
| Practice Telephone | 2604508286 |
| Mailing Telephone | 2604508286 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36001527A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457896060 | Carmen Michelle Smith | Registered Nurse | 405 Timberlan Rd, Metamora, IL 61548-9187 | 2017-01-05 |
| 1881897965 | Carmen Palacio Smith | Dietitian, Registered | 1601 N. Tucson Blvd, Ste. 5, Tucson, AZ 85716 | 2007-06-07 |
| 1699714196 | Carmen Princele Smith | Dentist | 9310 Forest Ln, Suite 338, Dallas, TX 75243-4219 | 2006-06-06 |
| 1609426576 | Carmen Smith | Counselor | 4100 Spring Valley Rd Ste 515, Dallas, TX 75244-3629 | 2019-09-12 |
| 1861975419 | Carmen Rae Smith | Occupational Therapist | 2521 Windward Way, Chula Vista, CA 91914-4526 | 2018-09-10 |
| 1083038079 | Carmen Smith | Community Health Worker | 1801 Vicente Street, San Francisco, CA 94116 | 2014-02-11 |
| 1538593439 | Carmen Maria Smith | Behavioral Analyst | 1543 E Palmdale Blvd, Ste P, Palmdale, CA 93550-2000 | 2013-08-27 |
| 1942321823 | Carmen Ilene Smith | Physical Therapist | 6165 Lehman Dr, Suite 102, Colorado Springs, CO 80918-3441 | 2007-04-02 |
| 1043337975 | Carmen Latonya Smith | Physical Therapist | 1536 Appling Care Ln, Cordova, TN 38016-4927 | 2007-03-24 |
| 1083780118 | Carmen Smith | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2006-11-28 |
| Street Address |
11130 PARKVIEW CIRCLE DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805351 | Julie L. Herman | Physical Therapist | 11130 Parkview Circle Dr, Fort Wayne, IN 46845 | 2005-07-19 |
| 1124636238 | Jithmie Jayawickrema | Physical Therapist | 11130 Parkview Circle Dr, Fort Wayne, IN 46845-1735 | 2020-07-15 |
| 1831734086 | Cheryl Gerard | Physical Therapist | 11130 Parkview Circle Dr, Fort Wayne, IN 46845-1735 | 2019-11-12 |
| 1083257554 | Sharon A Graft-leuenberger | Physical Therapist | 11130 Parkview Circle Dr, Fort Wayne, IN 46845-1735 | 2019-10-28 |
| 1780227231 | Patricia S Clouse | Physical Therapist | 11130 Parkview Circle Dr, Fort Wayne, IN 46845-1735 | 2019-10-28 |
| 1194372193 | Erica L Zachrich | Physical Therapist | 11130 Parkview Circle Dr, Fort Wayne, IN 46845-1735 | 2019-08-23 |
| 1023662830 | Logan A Lucas | Physical Therapist | 11130 Parkview Circle Dr, Fort Wayne, IN 46845-1735 | 2019-07-30 |
| 1366921801 | Timothy D Howard | Physical Therapist | 11130 Parkview Circle Dr, Fort Wayne, IN 46845-1735 | 2018-08-07 |
| 1033603634 | Douglas M Helsom | Physical Therapist | 11130 Parkview Circle Dr, Fort Wayne, IN 46845-1735 | 2018-06-18 |
| 1609373711 | Kristen E Garlock | Physical Therapist | 11130 Parkview Circle Dr, Fort Wayne, IN 46845-1735 | 2018-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| 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 |
|---|---|---|---|---|
| 1699308700 | Jennifer N Peppler | Specialist/Technologist | 3434 Kirkfield Dr, Fort Wayne, IN 46815-5972 | 2020-02-17 |
| 1710519392 | Mitchell Mckay Enyart | Specialist/Technologist | 1617 Randford Pl, Fort Wayne, IN 46815-7635 | 2020-02-11 |
| 1003448671 | Chelsea L Harrison | Specialist/Technologist | 6716 Ramblewood Ct Apt L, Fort Wayne, IN 46835-1760 | 2020-02-11 |
| 1457983223 | Kayla Grotrian | Specialist/Technologist | 5440 Evard Rd, Fort Wayne, IN 46835-1796 | 2020-02-10 |
| 1730711680 | Danielle Rebecca Patton | Specialist/Technologist | 13303 Hawks View Blvd, Fort Wayne, IN 46845-8726 | 2020-02-09 |
| 1780220046 | Kelly Grayson | Specialist/Technologist | 1300 E Washington Center Rd, Fort Wayne, IN 46825-4556 | 2019-11-21 |
| 1265093280 | Emily Maria Giorgi | Specialist/Technologist | 2101 E Coliseum Blvd Ste 100, Fort Wayne, IN 46805-1499 | 2019-06-21 |
| 1194209791 | Autumn Brooke Meece | Specialist/Technologist | 5801 Meadows Dr Apt E, Fort Wayne, IN 46804-7639 | 2018-09-19 |
| 1407358377 | Bryan Black | Specialist/Technologist | 3946 Ice Way Fort Wayne, Fort Wayne, IN 46808 | 2018-03-06 |
| 1275049686 | Julianna Davis | Specialist/Technologist | 615 Vance Ave, Fort Wayne, IN 46805-2143 | 2017-12-20 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
Please comment or provide details below to improve the information on CARMEN 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.