TAMMIE MICHELLE SMITH (NPI# 1255546974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255546974 |
| Entity Type | Individual |
| Full Name | TAMMIE MICHELLE SMITH |
| Credential | ACNS-BC |
| Practice Address |
1101 Jackson St Sw Gravette AR 72736-9121 |
| Practice Telephone | 4797875221 |
| Practice Fax Number | 4797875613 |
| Mailing Telephone | 4797875221 |
| Mailing Fax Number | 4797875613 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | S02236 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS AR | 5R485 | 01 | |
| AR | RR MEDICARE | P00853320 | 01 |
| LIC | S02236 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 W Maple Ave, Suite 707, Springdale, AR 727645335 | 4794459900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407413271 | Tammie Smith | Counselor | 2502 Hickory Dr, College Station, TX 77840-5069 | 2019-05-28 |
| 1790283166 | Tammie Smith | Counselor | 3560 Fountain Falls Way, North Las Vegas, NV 89032 | 2018-01-31 |
| 1134631468 | Tammie Smith | Massage Therapist | 112 Ohio Ave, Rainelle, WV 25962-1568 | 2017-10-26 |
| 1184677536 | Tammie S Smith | Physician Assistant | 1115 Beltline Rd Se Ste 400, Decatur, AL 35601 | 2006-05-18 |
| 1427040526 | Tammie Lynn Smith | Psychologist | 1422 E Main St, Suite 4, Princeton, WV 24740-3046 | 2005-08-16 |
| 1952685893 | Tammie Smith | Counselor | 1601 Wilkie Rd, Mooreland, OK 73852-8921 | 2011-10-10 |
| 1386848208 | Tammie Bondurant Smith | Occupational Therapy Assistant | 103 Gossman Rd, Southern Pines, NC 28387-2225 | 2007-06-13 |
| Street Address |
1101 JACKSON ST SW |
| City | GRAVETTE |
| State | AR |
| Zip Code | 72736-9121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730151408 | Ashley Kent Stone | Nurse Practitioner | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2006-02-06 |
| 1649878042 | Kayla Lorraine Bradford | Social Worker | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2020-10-16 |
| 1184284473 | Gregory Scott Forrester | Nurse Practitioner | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2019-06-18 |
| 1912422486 | Carla Sawatski Cheek | Speech-Language Pathologist | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2017-08-07 |
| 1831614312 | Samantha Jean Eaton | Physical Therapy Assistant | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2017-08-07 |
| 1336664812 | Amber Michelle Karr | Speech-Language Pathologist | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2017-08-07 |
| 1093105918 | Amelia Dee Jackson | Nurse Practitioner | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2015-01-30 |
| 1699039610 | Vijay Kumar Kannam | Family Medicine | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2012-06-25 |
| 1780943357 | Sgoh Acquisition Inc | Medicare Defined Swing Bed Unit | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2012-05-16 |
| 1407122179 | Tracy Leigh Lowry | Nurse Practitioner | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2012-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487961322 | Ty D Russell | Chiropractor | 207 Atlanta Street S.e., Gravette, AR 72736 | 2010-09-13 |
| 1558673285 | Joy Ann Coonfield | Midwife, Lay | 14195 Strawberry Ridge Road, Gravette, AR 72736 | 2010-07-10 |
| 1932305349 | City of Gravette | Ambulance | 309 1st Ave Nw, Gravette, AR 72736 | 2007-06-22 |
| 1669580163 | Arthur F Evans | Dentist | 1102 Jackson Sw, Gravette Mercy Medical Clinic Bldg, Gravette, AR 72736 | 2006-08-26 |
| 1962948380 | Adonia Holden-dunivan | Counselor | 1102 Jackson St Sw, Gravette, AR 72736 | 2017-01-09 |
| 1649889775 | Haley Kathryn Mehan | Case Manager/Care Coordinator | 109 2nd Ave Sw Apt A, Gravette, AR 72736-6009 | 2020-07-24 |
| 1073663001 | Gravette School District | Local Education Agency (LEA) | 609 Birmingham St Se, Gravette, AR 72736-8701 | 2007-01-11 |
| 1679649339 | Austin Drugs Inc | Pharmacy | 118 Main St Ne, Gravette, AR 72736-8719 | 2006-11-27 |
| 1649838335 | James Harold Austin | Pharmacist | 118 Main St Ne, Gravette, AR 72736-8719 | 2019-05-29 |
| 1730795451 | Bailey Boatright | Speech-Language Pathologist | 500 8th Ave Se, Gravette, AR 72736-8742 | 2020-09-17 |
| Find all providers in zip 72736 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710430582 | Jessica Erin Camp | Clinical Nurse Specialist | 3401 E Highland Dr, Jonesboro, AR 72401-6404 | 2016-07-28 |
| 1922411644 | Melba Barnes Cns Aprn Inc | Clinical Nurse Specialist | 31 La Granja Cir, Hot Springs Village, AR 71909-2652 | 2014-06-10 |
| 1649698978 | Ellen Marie Odell | Clinical Nurse Specialist | 4303 Lankford Ave, Springdale, AR 72762-5834 | 2014-04-03 |
| 1326222183 | Susan Kimbrell | Clinical Nurse Specialist | 593 Horsebarn Rd Ste 101, Rogers, AR 72758-8797 | 2007-12-28 |
| 1144836347 | Ashley Featherston | Clinical Nurse Specialist | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2020-09-22 |
| 1326656513 | Heather Porterfield | Clinical Nurse Specialist | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2020-07-14 |
| 1679117659 | Ryan Scott Anderson | Clinical Nurse Specialist | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-11-01 |
| 1679052559 | Aaron Baxter | Clinical Nurse Specialist | 550 Club Ln, Conway, AR 72034-3681 | 2018-08-10 |
| 1164956199 | Lindsey R Sabatini | Clinical Nurse Specialist | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2017-04-17 |
| 1104361864 | Dawn Michelle Smedley | Clinical Nurse Specialist | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2017-01-04 |
| 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.