GINA SMITH (NPI# 1255817458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255817458 |
| Entity Type | Individual |
| Full Name | GINA SMITH |
| Credential | CPRM |
| Practice Address |
15941 Fairfield St Detroit MI 48238-4123 |
| Practice Telephone | 3133454310 |
| Practice Fax Number | 3133454315 |
| Mailing Telephone | 3133454310 |
| Mailing Fax Number | 3133454615 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 204986314 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083241921 | Gina Smith | Counselor | 5900 Drystone Ln, Killeen, TX 76542-5285 | 2020-03-23 |
| 1083250708 | Gina G Smith | Massage Therapist | 395 Lexington Ave Apt 1d, Brooklyn, NY 11216-1243 | 2019-11-19 |
| 1811407737 | Gina M Smith | Licensed Practical Nurse | 24715 Meadow Creek Dr, Harrison Township, MI 48045-3139 | 2017-10-05 |
| 1902181811 | Gina Smith | Occupational Therapist | 29540 E 160th Ct, Brighton, CO 80603-8423 | 2011-10-12 |
| 1407036114 | Gina Laneece Smith | Psychologist | 2604 General Hays Rd Ste B, Hays, KS 67601-2256 | 2007-11-09 |
| 1639273980 | Gina Watson Smith | Social Worker | 1305 Loring Mill Rd, Sumter, SC 29150 | 2006-09-08 |
| 1003927419 | Gina Faye Smith | Marriage & Family Therapist | 758 Broad St Ext, Waterford, CT 06385 | 2006-08-31 |
| 1235749490 | Gina M Smith | Speech-Language Pathologist | 251 W Mohawk Ln, Phoenix, AZ 85027-5946 | 2020-08-03 |
| 1750912101 | Gina Smith | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-02-03 |
| 1437794948 | Gina Smith | Nurse Practitioner | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 | 2019-11-08 |
| Street Address |
15941 FAIRFIELD ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48238-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144469461 | Lakeridge Village, Inc. | Substance Abuse Rehabilitation Facility | 15941 Fairfield St, Detroit, MI 48238-4123 | 2009-02-10 |
| 1134739501 | Lakeridge Village, Inc | Substance Abuse Rehabilitation Facility | 15941 Fairfield St, Detroit, MI 48238-4123 | 2020-07-31 |
| 1548886732 | Eugenia Holimon | Counselor | 15941 Fairfield St, Detroit, MI 48238-4123 | 2020-06-23 |
| 1790301992 | Gayle Lowe | Counselor | 15941 Fairfield St, Detroit, MI 48238-4123 | 2020-06-23 |
| 1134745995 | Juanita Charleston | Contractor | 15941 Fairfield St, Detroit, MI 48238-4123 | 2020-06-17 |
| 1023574787 | Kenneth Fultz | Peer Specialist | 15941 Fairfield St, Detroit, MI 48238-4123 | 2019-02-18 |
| 1023587359 | Megan E Doyle | Peer Specialist | 15941 Fairfield St, Detroit, MI 48238-4123 | 2018-11-15 |
| 1104309509 | Jonathon Edward Williams | Counselor | 15941 Fairfield St, Detroit, MI 48238-4123 | 2018-09-11 |
| 1487130555 | Rodney Johnson | Peer Specialist | 15941 Fairfield St, Detroit, MI 48238-4123 | 2018-07-12 |
| 1275047797 | Terrence Edward Jones | Peer Specialist | 15941 Fairfield St, Detroit, MI 48238-4123 | 2017-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700372224 | Cardinal Home Healthcare Group, LLC | Home Health | 3165 Oakman Boulvard, Detroit, MI 48238 | 2018-07-09 |
| 1063963684 | Lydia Adkins | Counselor | 13505 Lasalle St, Apt 305, Detroit, MI 48238 | 2016-10-19 |
| 1750837324 | A Plus Care Transportation LLC | Clinic/Center | 14586 Wisconsin, Detroit, MI 48238 | 2016-09-01 |
| 1518413756 | Valarie Grayer - Felton | Case Manager/Care Coordinator | 15941 Fairfield St., Detroit, MI 48238 | 2016-08-28 |
| 1144773722 | Juanna Cherise Hardaway | Case Manager/Care Coordinator | 1935 Pasadena, Detroit, MI 48238 | 2016-07-29 |
| 1336503556 | Gladys S Chambers | Home Health Aide | 15473 Wisconsin, Detroit, MI 48238 | 2016-04-13 |
| 1891158788 | Karla Gill | Licensed Practical Nurse | 153060 Wildemere, Detroit, MI 48238 | 2016-03-30 |
| 1790145548 | Cecil Cosey IIi | Psychologist | 11000 W Micnichols, Detroit, MI 48238 | 2016-03-07 |
| 1508264102 | Sav-med Pharmacy Inc | Pharmacy | 2645 West Davison, Detroit, MI 48238 | 2014-12-12 |
| 1760887020 | Monument Dental PC | Dentist | 15510 Livernois Avenue, Detroit, MI 48238 | 2014-10-29 |
| Find all providers in zip 48238 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
| 1790331536 | Bridgett Darcell Scott | Peer Specialist | 1121 E 6 Mile Rd, Detroit, MI 48203-2857 | 2019-08-16 |
| 1932669827 | Donald Brown | Peer Specialist | 18582 Goddard St, Detroit, MI 48234-1319 | 2019-03-25 |
| 1710463880 | Felicia Greene | Peer Specialist | 3542 Fairview St, Detroit, MI 48214-3539 | 2018-07-12 |
| 1033603998 | Tonya Patrice Miller-cherry | Peer Specialist | 1423 Field St # 5, Detroit, MI 48214-2321 | 2018-06-14 |
| 1831612662 | Heidi L Brinkley | Peer Specialist | 5575 Conner St Ste 204b, Detroit, MI 48213-6401 | 2017-07-24 |
| 1588067383 | Katrina Baldwin | Peer Specialist | 11668 Montrose St, Detroit, MI 48227-1758 | 2014-10-07 |
| 1700498771 | Darryl Angelo Walker | Peer Specialist | 1145 W Grand Blvd, Detroit, MI 48208-2336 | 2020-08-20 |
| 1487266441 | Jeremiah Spears Jr. | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-08-20 |
| 1740892603 | Sheena Talanya Dalton | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-08-20 |
| Find all providers in DETROIT | ||||
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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.