CATHERINE RUTH SMITH (NPI# 1235653445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235653445 |
| Entity Type | Individual |
| Full Name | CATHERINE RUTH SMITH |
| Credential | APN |
| Practice Address |
7362 Southcrest Pkwy Southaven MS 38671 |
| Mailing Address |
8060 Wolf River Blvd Germantown TN 38138-1727 |
| Practice Telephone | 9012711000 |
| Practice Fax Number | 9012714187 |
| Mailing Telephone | 9012711000 |
| Mailing Fax Number | 9012714187 |
| Enumeration Date | 2017-07-29 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 22821 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
903323 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
22821 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 47-1157530 | 05 | |
| MS | DEA | MS5266881 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 877 Jefferson Ave, Memphis, TN 381032807 | 9015457302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689225641 | Catherine Ann Smith | Counselor | 13692 Sw 38th Ct, Ocala, FL 34473-2188 | 2019-09-21 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| 1407356025 | Catherine Engel Smith | Registered Nurse | 6300 W I 40 Ste 110, Amarillo, TX 79106-2518 | 2018-02-20 |
| 1558726844 | Catherine Smith | Specialist/Technologist | 17065 Us-71, Belton, MO 64012 | 2015-12-31 |
| 1831531029 | Catherine Jean Smith | Speech-Language Pathologist | 14126 Commercial Pkwy, South Beloit, IL 61080-2553 | 2013-07-29 |
| 1760754816 | Catherine Cleveland Smith | Physical Therapy Assistant | 5020 Riverwood Rd, Tallahassee, FL 32303 | 2012-02-06 |
| 1235421470 | Catherine Wyman Smith | Social Worker | 75-159 Lunapule Rd Ste 8, Kailua Kona, HI 96740-2100 | 2011-05-05 |
| 1750698833 | Catherine Patrice Smith | Nurse Practitioner | 1215 Pleasant St Ste 308, Des Moines, IA 50309-1409 | 2010-09-09 |
| 1699007278 | Catherine Frances Smith | Nurse Practitioner | 4329 Arthur Ave, Brookfield, IL 60513-2307 | 2010-02-05 |
| 1851509699 | Catherine Goodwin Smith | Physical Therapist | 1000 Lane Ave, Crawfordsville, IN 47933-1250 | 2007-05-17 |
| Street Address |
7362 SOUTHCREST PKWY |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114186574 | The Stern Cardiovascular Center | Internal Medicine | 7362 Southcrest Pkwy, Southaven, MS 38671-4773 | 2008-06-02 |
| 1346699329 | Yim Lei Tackett | Nurse Practitioner | 7362 Southcrest Pkwy, Southaven, MS 38671-4773 | 2016-06-09 |
| 1689951774 | Alicia Brooke York | Nurse Practitioner | 7362 Southcrest Pkwy, Southaven, MS 38671-4773 | 2011-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1518583129 | Susan E Mccullough | Nurse Practitioner | 5932 Antler Trl, Southaven, MS 38672-6511 | 2020-06-19 |
| 1336764778 | Raquel Janay Reed-washington | Nurse Practitioner | 3548 Herbert Cv, Southaven, MS 38672-2003 | 2020-06-11 |
| 1104452887 | Vincent Lee Spinosa-parker | Nurse Practitioner | 5056 Maiden Lane Cv, Southaven, MS 38672-6000 | 2020-03-13 |
| 1215438437 | Alba Laura Emerson | Nurse Practitioner | 1862 Lindsey Ln, Southaven, MS 38672-8602 | 2018-02-22 |
| 1629583026 | Lachasity Kimmons | Nurse Practitioner | 2032 Audubon Pl, Southaven, MS 38672-9440 | 2017-12-06 |
| 1124322474 | Ageless Men's Health, LLC | Nurse Practitioner | 7111 Southcrest Pkwy, Suite 109, Southaven, MS 38671-4850 | 2010-12-30 |
| 1487757365 | Regina G Seaton | Nurse Practitioner | 7676 Airways Blvd, Southaven, MS 38671-5304 | 2006-09-06 |
| 1063465482 | Misty Ann Moore | Nurse Practitioner | 7585 Clarington Cove, Southaven, MS 38671-2300 | 2006-05-18 |
| 1184602450 | Tammy Louise Carnahan | Nurse Practitioner | 7900 Airways Blvd, Building A Suite 6, Southaven, MS 38671-4113 | 2006-01-05 |
| Find all providers in SOUTHAVEN | ||||
Please comment or provide details below to improve the information on CATHERINE RUTH 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.