MRS. CAROLYN DIANNE SMITH (NPI# 1245889773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245889773 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN DIANNE SMITH |
| Practice Address |
14077 Felton Rd Gulfport MS 39503-5131 |
| Practice Telephone | 6322714367 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14077 Felton Rd, Gulfport, MS 395035131 | 6232714367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225521917 | Carolyn Ann Smith | Home Health Aide | 13755 New Halls Ferry Rd, Florissant, MO 63033-3028 | 2018-06-07 |
| 1164911079 | Carolyn J Smith | Behavior Technician | 306 S Mason St, Bensenville, IL 60106-2682 | 2018-05-07 |
| 1174062319 | Carolyn Diane Smith | Registered Nurse | 2305 Springhill Ln, Lindenhurst, IL 60046-8326 | 2017-02-21 |
| 1538539580 | Carolyn Smith | Counselor | 13919 Carrollwood Village Run, Tampa, FL 33618-2746 | 2015-10-02 |
| 1649657230 | Carolyn Marian Smith | Nurse Practitioner | 1000 Morris Ave # Dn-126a, Union, NJ 07083-7133 | 2015-05-03 |
| 1962646786 | Carolyn Marion Smith | Clinic/Center | 3620 N Lauren Ln, Bloomington, IN 47404-9206 | 2009-04-23 |
| 1124226824 | Carolyn M Smith | Pharmacist | 43 Sabin St Quad Bldg Rm Qe 213, Charleston, SC 29245 | 2007-07-05 |
| 1750585063 | Carolyn R Smith | Nurse Practitioner | 326 South Side Road, Bee Branch, AR 72013-9137 | 2007-06-12 |
| 1154538460 | Carolyn Smith | Case Manager/Care Coordinator | 1500 Kanakanak Road, Dillingham, AK 99576-0310 | 2007-05-17 |
| 1659407815 | Carolyn Smith | Registered Nurse | 2122 Canterbury Rd, Madison, WI 53711-3950 | 2007-02-24 |
| Street Address |
14077 FELTON RD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-5131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562172 | Debra Susan Johnson | Technician | 912 Hemlock Rd, Gulfport, MS 39503-5848 | 2019-08-06 |
| 1295122570 | Monica Conley | Technician | 14881 Angela Dr, 14881 Angela Drive, Gulfport, MS 39503-3552 | 2015-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050617 | Maria Annette Seale | Technician | 504 Merganser Trl, Clinton, MS 39056-6262 | 2020-10-10 |
| 1295341980 | Penny Winstead | Technician | 1523 Highway 13 N, Brandon, MS 39042-7480 | 2020-09-18 |
| 1316559966 | Royeisha Deshawn Walker | Technician | 3635 Hancock St, Jackson, MS 39213-5803 | 2020-08-17 |
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1245855790 | Hayley Caughman | Technician | 902 Stratford Ln, Amory, MS 38821-2009 | 2020-06-10 |
| 1033733738 | John Flowers | Technician | 4417 27th St, Meridian, MS 39307-4272 | 2020-05-29 |
| 1689297731 | Judy Johnson Stuart | Technician | 169 Robinhood Trl, Brandon, MS 39042-9456 | 2020-05-23 |
| 1386265627 | Lillie Mae Lockett | Technician | 1025 Ritchie Ave, Clarksdale, MS 38614 | 2020-04-28 |
| 1407481500 | Jannie M. King | Technician | 158 Waco Road, Inverness, MS 38753 | 2020-03-09 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
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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.