MRS. EBONY M. SMITH (NPI# 1255683967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255683967 |
| Entity Type | Individual |
| Full Name | MRS. EBONY M. SMITH |
| Credential | LPN |
| Practice Address |
328 Interchange Dr Fayetteville NC 28311-7417 |
| Practice Telephone | 9109645642 |
| Mailing Telephone | 9109645642 |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 280956-1 | NY | Nursing Service Providers |
| Y | 164W00000X | Licensed Practical Nurse | 73712 | NC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376104950 | Ebony Smith | Registered Nurse | 5920 Burger St, Dearborn Heights, MI 48127-2412 | 2019-06-25 |
| 1205496809 | Ebony Smith | Technician | 8469 Pattette Pl, White Plains, MD 20695-3497 | 2019-06-17 |
| 1811402449 | Ebony Smith | Home Health Aide | 1837 Nw 2nd St, Ocala, FL 34475-6342 | 2017-12-05 |
| 1790204980 | Ebony Michelle Smith | Counselor | 6851 Plymouth Rd Apt 24, Stockton, CA 95207-2321 | 2017-09-19 |
| 1366724254 | Ebony Smith | Pharmacist | 5004 W Esplanade Ave, Metairie, LA 70006-2551 | 2011-09-15 |
| 1376874339 | Ebony Michelle Smith | Psychologist | 912 Black Jack Ln, Moore, OK 73160-0900 | 2010-01-14 |
| 1588261606 | Ebony Etashia Smith | Home Health Aide | 130 George St Ste J, Beckley, WV 25801-2648 | 2020-10-01 |
| 1568010833 | Ebony Smith | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2019-08-29 |
| 1871035394 | Ebony Jolan Smith | Counselor | 8211 Summa Ave, Suite F, Baton Rouge, LA 70809 | 2016-11-15 |
| 1669838421 | Ebony L Smith | Licensed Practical Nurse | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2016-01-11 |
| Street Address |
328 INTERCHANGE DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28311-7417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700415205 | Marcella Eubanks | Physical Therapy Assistant | Rdl Therapeutic Outpatient Therapy, 424 Mcarthur Rd, Fayetteville, NC 28311 | 2020-04-06 |
| 1144856709 | Laura Johnson | Occupational Therapy Assistant | 424 Mcarthur Rd., Fayetteville, NC 28311 | 2020-03-16 |
| 1326507096 | Senior Transportationl.l.c. | Private Vehicle | 164 Tallstone Dr, Fayetteville, NC 28311 | 2019-03-13 |
| 1154850998 | Shannon Marcella Chapman | Physical Therapist | 4140 Ramsey St Ste 110, Fayetteville, NC 28311 | 2017-06-06 |
| 1306392048 | Gena Oxendine | Counselor | 223 Glenola St, Fayetteville, NC 28311 | 2016-09-01 |
| 1023564010 | Rachel Sokolowski | Physical Therapy Assistant | 231 Treetop Dr., Fayetteville, NC 28311 | 2016-08-30 |
| 1285984765 | Towanaka Yvette Bass | Home Health Aide | 5688 Dobson Drive, Fayetteville, NC 28311 | 2012-09-12 |
| 1255574448 | Amy E. Southworth | Occupational Therapist | 3409 Connection Rd, Fayetteville, NC 28311 | 2009-04-17 |
| 1922246818 | Calhoun Family Pharmacy Inc | Pharmacy | 4417 Ramsey Street, Fayetteville, NC 28311 | 2009-01-30 |
| 1003051210 | Us Army | Clinic/Center | 5587 Lockridge Road, Fayetteville, NC 28311 | 2008-12-03 |
| Find all providers in zip 28311 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629629993 | Sheena Epps | Licensed Practical Nurse | 637 John B Carter Rd, Fayetteville, NC 28312-7154 | 2019-09-26 |
| 1972158442 | Christina Lynn Evans | Licensed Practical Nurse | 388 Berlin Dr, Fayetteville, OH 45118-9429 | 2019-08-01 |
| 1346804036 | Toosdhi Marquette Mcdaniel-simmons | Licensed Practical Nurse | 3015 Amberjack Rd, Fayetteville, NC 28306-7989 | 2019-04-28 |
| 1417416017 | Sonja Nicole Leflore | Licensed Practical Nurse | 12335 Molly Sue Ln, Fayetteville, GA 30215-6630 | 2019-03-14 |
| 1114497393 | Leslie Annette Simmons | Licensed Practical Nurse | 500 Grouper Dr, Fayetteville, NC 28306-8453 | 2018-11-29 |
| 1154891679 | Faith Ursula Cowart | Licensed Practical Nurse | 415 Tradewinds Dr Apt G, Fayetteville, NC 28314-2454 | 2018-11-27 |
| 1689176307 | Isis Andrea Goodson | Licensed Practical Nurse | 1233 Mingary Ave, Fayetteville, NC 28306-3558 | 2018-03-08 |
| 1992257398 | Chanda Agee | Licensed Practical Nurse | 160 W Lake Dr, Fayetteville, GA 30214-3239 | 2016-11-01 |
| 1528410487 | Sharon Byrd | Licensed Practical Nurse | 17836 Harmon Rd, Fayetteville, AR 72704 | 2016-07-05 |
| 1073918025 | Valerie Davis Hunt | Licensed Practical Nurse | 195 Stillbrook Way, Fayetteville, GA 30214-5358 | 2014-11-01 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28311 |
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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.