MRS. MARIE NICOLE SMITH (NPI# 1265711170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265711170 |
| Entity Type | Individual |
| Full Name | MRS. MARIE NICOLE SMITH |
| Credential | RN, CNS |
| Practice Address |
600 W Main St Ste 130 Troy OH 45373-3384 |
| Mailing Address |
2110 Leiter Rd Miamisburg OH 45342-3598 |
| Practice Telephone | 8555002873 |
| Practice Fax Number | 9379807057 |
| Mailing Telephone | 9373844838 |
| Mailing Fax Number | 9373844845 |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRNCNP026015 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP1700X |
Nurse Practitioner Specialization: Perinatal |
APRN..CNP.12269 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364S00000X | Clinical Nurse Specialist | COA12269NS | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
RN312421 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0083654 | 05 | |
| OH | OHIO LICENSE | COA12269NS | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3737 Southern Blvd, Suite 3200, Kettering, OH 454291262 | 9375583500 | 9375585507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285186742 | Marie Jude Smith | Non-emergency Medical Transport (VAN) | 14411 S Eggleston Ave, Riverdale, IL 60827-2671 | 2016-11-01 |
| 1164976635 | Marie Smith | Dentist | 1420 Lincoln Way Ste 200, Coeur D Alene, ID 83814-2360 | 2016-08-12 |
| 1952481061 | Marie Wailes Smith | Social Worker | 4104 Lac Du Bay Dr, Harvey, LA 70058-6516 | 2006-10-16 |
| 1689177610 | Marie Emily Brobeck Smith | Nurse Practitioner | 3043 W Ina Rd, Tucson, AZ 85741-2107 | 2018-03-15 |
| 1295250272 | Marie Ann Smith | Counselor | 931 Westwood Dr Ste E, Marrero, LA 70072-2400 | 2017-08-10 |
| 1447773783 | Marie G Smith | Dietitian, Registered | 575 4th St, Kewaunee, WI 54216 | 2017-07-19 |
| 1336510247 | Marie Smith | Nurse Practitioner | 3601 W 13 Mile Rd, Beaumont Children's Hospital Pediatric Neonatology, Royal Oak, MI 48073-6712 | 2015-10-19 |
| 1356732333 | Marie Smith | Pharmacy Technician | 25 S Gateway Dr, Fredericksburg, VA 22406-1228 | 2015-02-11 |
| 1942699962 | Marie Smith | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2015-01-14 |
| 1619219375 | Marie Augustina Smith | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2013-03-20 |
| Street Address |
600 W MAIN ST STE 130 |
| City | TROY |
| State | OH |
| Zip Code | 45373-3384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629027727 | Joseph W Lavelle | Internal Medicine | 600 W Main St Ste 130, Troy, OH 45373-3384 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
| 1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
| 1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
| 1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
| 1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| Find all providers in zip 45373 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033495643 | Jung Yoen Son | Nurse Practitioner | 2274 Golfview Dr, Apt 202, Troy, MI 48084-3848 | 2011-10-26 |
| 1619976388 | Andrea Nicole Kwasky | Nurse Practitioner | 1639 E Big Beaver Rd Ste 201, Troy, MI 48083-2054 | 2005-07-15 |
| 1356959316 | Daniel Grant Pecan | Nurse Practitioner | 2215 Burdett Ave, Troy, NY 12180-2475 | 2020-07-16 |
| 1912524190 | Jessica Nicole Pastva | Nurse Practitioner | 625 E Big Beaver Rd Ste 200, Troy, MI 48083-1434 | 2020-07-03 |
| 1740821958 | Kerri Lyn Outlaw | Nurse Practitioner | 1330 Highway 231 S, Troy, AL 36081-3058 | 2019-09-30 |
| 1003468273 | Kelly Lynne Mack | Nurse Practitioner | 2215 Burdett Ave, Troy, NY 12180-2466 | 2019-07-09 |
| 1487215604 | Michael Franz Dunker | Nurse Practitioner | 550 Summit Ave, Troy, OH 45373-3047 | 2019-06-27 |
| 1811435217 | Laurie Lavin | Nurse Practitioner | 2001 5th Ave, Troy, NY 12180-3482 | 2017-02-06 |
| 1245772292 | Jacquelyn Terry | Nurse Practitioner | 1639 E Big Beaver Rd Ste 201, Troy, MI 48083-2054 | 2016-11-08 |
| 1316329006 | Samantha Lynn Lucca | Nurse Practitioner | 2215 Burdett Ave, Troy, NY 12180-2466 | 2015-06-18 |
| Find all providers in TROY | ||||
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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.