MELODY DAWN SMITH (NPI# 1265091078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265091078 |
| Entity Type | Individual |
| Full Name | MELODY DAWN SMITH |
| Practice Address |
4100 Se Adams Rd Ste E108 Bartlesville OK 74006-8409 |
| Practice Telephone | 9183333828 |
| Mailing Telephone | 9183333828 |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942786421 | Melody Smith | Nurse's Aide | 10021 City View Dr, Morrison, CO 80465-2362 | 2018-07-17 |
| 1407394901 | Melody Jo Smith | Licensed Practical Nurse | 2260 Raleigh Road, Eldorado, IL 62930 | 2017-02-03 |
| 1467757872 | Melody Hope Smith | Social Worker | 16014 Vergi Ct., Clinton Township, MI 48038-4181 | 2011-01-14 |
| 1528264744 | Melody L Smith | Counselor | 602 E Summit St, Marshall, MO 65340-2760 | 2007-06-25 |
| 1962623025 | Melody Smith | Counselor | 199 W Palmetto Park Road, Suite 6, Boca Raton, FL 33432 | 2007-05-02 |
| 1083195572 | Melody Brown Smith | Speech-Language Pathologist | 9330 Broadway St, Pearland, TX 77584-7891 | 2018-08-23 |
| 1588192959 | Melody Smith | Case Manager/Care Coordinator | 500 N 9th St Ste B, Modesto, CA 95350-5814 | 2017-05-31 |
| 1558739763 | Melody H Smith | Counselor | 39 Broad St, Suite 206, Charleston, SC 29401-3019 | 2015-09-03 |
| 1952734162 | Melody Leigh Smith | Nurse Practitioner | 342 Cox Blvd, Sheffield, AL 35660-4020 | 2013-08-12 |
| 1831430867 | Melody Lee Smith | Licensed Practical Nurse | 260 Cumberland Bnd, Nashville, TN 37228-1804 | 2013-03-15 |
| Street Address |
4100 SE ADAMS RD STE E108 |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74006-8409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831439066 | The Center for Therapeutic Interventions | Community/Behavioral Health | 4100 Se Adams Rd Ste E108, Bartlesville, OK 74006-8409 | 2013-02-25 |
| 1649835315 | Amanda R Replogle | Case Manager/Care Coordinator | 4100 Se Adams Rd Ste E108, Bartlesville, OK 74006-8409 | 2019-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646252 | Ntcob LLC | Family Medicine | 234 Se De Bell Ave, Bartlesville, OK 74006 | 2020-07-06 |
| 1053936815 | Priscella Ann Caron | Nurse Practitioner | 226 Se De Bell Ave Building B, Bartlesville, OK 74006 | 2020-06-08 |
| 1508390840 | Megan Christopher | Student in an Organized Health Care Education/Training Program | 3400 Se Frank Phillips Blvd, Suite 502, Bartlesville, OK 74006 | 2017-04-13 |
| 1518339811 | Dori Raycob | Registered Nurse | 3400 Se Frank Phillips Blvd Suite 300, Bartlesville, OK 74006 | 2015-10-26 |
| 1023487436 | Katherine Marie Anderson | Nurse Practitioner | 3500 Sw Frank Phillips, Bartlesville, OK 74006 | 2015-09-16 |
| 1033593207 | Quanisha Roberson | Clinical Nurse Specialist | 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 | 2015-07-16 |
| 1588064604 | Vance Wayne Blackwell Jr. | Counselor | 2200 Se Washinton Blvd., Bartlesville, OK 74006 | 2014-08-26 |
| 1619314937 | Scott Ethan Sonico | Dentist | 1224 Se Washington Blvd, Bartlesville, OK 74006 | 2013-05-28 |
| 1417229485 | Vernon Lee Newby | Veterinarian | 817 Madison Blvd., Bartlesville, OK 74006 | 2012-02-06 |
| 1306083720 | Sherry M Wilson | Counselor | 3925-g Frank Phillips Blvd., Bartlesville, OK 74006 | 2009-01-08 |
| Find all providers in zip 74006 | ||||
| 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 |
|---|---|---|---|---|
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1023651924 | Tiffania Paige Swan | Peer Specialist | 700 Sw. Penn, 700 Sw. Penn, Bartlesville, OK 74003-3847 | 2019-10-23 |
| 1497319230 | Aaron Watson | Peer Specialist | 804 S Chickasaw Ave Apt 18, Bartlesville, OK 74003-5202 | 2019-04-26 |
| 1114403318 | Jason Matthew Powell | Peer Specialist | 1025 S Keeler Ave, Bartlesville, OK 74003-4754 | 2018-07-11 |
| 1912353160 | Kelly Roberts | Peer Specialist | 405 Ne Avondale Ave, Bartlesville, OK 74006-1702 | 2016-05-06 |
| 1649877325 | Shelby Elizabeth Brennan | Peer Specialist | 700 S Penn Ave, Bartlesville, OK 74003-3847 | 2020-10-05 |
| 1922624675 | James Davis Warring | Peer Specialist | 700 Sw Penn, Bartlesville, OK 74003-3847 | 2020-06-18 |
| 1558990358 | Hannah Lord Garrett | Peer Specialist | 700 Sw Penn, Bartlesville, OK 74003 | 2020-04-03 |
| 1659911469 | Khyrstee Daven Norman | Peer Specialist | 700 S Penn Ave, Bartlesville, OK 74003-3847 | 2020-01-09 |
| 1306484407 | Ciarra Powell | Peer Specialist | 700 S Penn Ave, Bartlesville, OK 74003-3847 | 2019-12-19 |
| Find all providers in BARTLESVILLE | ||||
| City | BARTLESVILLE |
| Zip Code | 74006 |
Please comment or provide details below to improve the information on MELODY DAWN 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.