MRS. DEBRA ANN SMITH


Address: 49th Medical Group/sgomw, 280 First Street, Bldg 23, Holloman Afb, NM 88330-8273
Phone: 5755725874

MRS. DEBRA ANN SMITH (NPI# 1275500878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275500878
Entity Type Individual
Full Name MRS. DEBRA ANN SMITH
Credential RNC, MS, WHNP
Practice Address 49th Medical Group/sgomw
280 First Street, Bldg 23
Holloman Afb
NM 88330-8273
Practice Telephone 5755725874
Practice Fax Number 5755722259
Mailing Telephone 5755725874
Mailing Fax Number 5755722259
Enumeration Date 2006-03-02
Last Update Date 2018-04-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
702681 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers DEBRA SMITH

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1922488840 Debra Smith Occupational Therapy Assistant 900 Colonial Lake Dr Apt 923, Madison, AL 35758-2283 2015-06-05
1629404942 Debra Smith Behavioral Analyst 36 Gotham Ave, Brooklyn, NY 11229 2013-09-18
1942555677 Debra Smith Community Health Worker 11056 Township Road 101, Findlay, OH 45840-9608 2012-07-18
1538490719 Debra Kay Smith Physician Assistant One Dell Way, Mailstop Rr 8-49 Well At Dell Health Center, Round Rock, TX 78682 2010-01-27
1306085667 Debra M Smith Speech-Language Pathologist 38 W Passage Dr, Portsmouth, RI 02871-1358 2009-02-10
1972714442 Debra Kay Hines Smith Physician Assistant 22629 N 73rd Dr, Glendale, AZ 85310-5662 2007-05-25
1184758302 Debra Frazier Smith Registered Nurse 3968 Rose Ave, Long Beach, CA 90807-3734 2007-03-16
1194885186 Debra A Smith Preventive Medicine 7008 Wooded Meadow Rd, Louisville, KY 40241-6411 2006-12-11

Office Location

Street Address 49TH MEDICAL GROUP/SGOMW
280 FIRST STREET, BLDG 23
City HOLLOMAN AFB
State NM
Zip Code 88330-8273

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598312084 Zachary James Smith Pharmacist 49th Medical Group 280 First Street, Holloman Afb, NM 88330 2019-08-20
1346776804 Maxilea Isom Behavior Technician 2079 Eglin Ave Apt A, Holloman, Afb, NM 88330 2017-05-03
1932558665 Courtney Davis Day Training/Habilitation Specialist 2228 La Luz Pkwy Unit A, Holloman Afb, NM 88330 2016-06-03
1568849255 Ryan Abner Registered Nurse 49th Medical Building 17, Holloman Afb, NM 88330 2015-05-01
1710384292 United States Air Force Military Hospital 49th Medical Bldg 17, Holloman Afb, NM 88330 2014-11-26
1174934764 Jason Gordon Social Worker 1st Street Holloman Afb, Holloman Afb, NM 88330 2014-05-16
1649512807 Philip Walker Internal Medicine 280 1st St, Holloman Afb, Alamogordo, NM 88330 2013-03-25
1275891889 Sunland Optical Co., Inc. Eyewear Supplier (Equipment, not the service) 551 4th Street, Bldg. 227, Holloman Afb, NM 88330 2012-05-02
1568606317 Kimberly Dawn Jensen Internal Medicine 280 1st St Bldg 15, 49 Mdg Holloman Afb, Holloman Afb, NM 88330 2009-04-23
1700042306 Bettina Watkins Family Medicine 280 First St, Bldg 23, Holloman Afb, NM 88330 2008-08-03
Find all providers in zip 88330

Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326433269 Mollie Flint Rieff Nurse Practitioner 1751 Old Pecos Trl Ste N, Santa Fe, NM 87505-4706 2015-03-30
1588071328 Gretchen Evelynn Szymanski Nurse Practitioner Cannon Afb, 224 W D.l. Ingram Blvd, Cannon Afb, NM 88103 2014-07-14
1386938553 Dina Jene Reid Nurse Practitioner 11616 Snowheights Blvd Ne, Albuquerque, NM 87112-3158 2011-06-06
1174645113 Joanne Marlene Williams Nurse Practitioner 8712 Chambers Pl Ne, Albuquerque, NM 87111-2138 2007-04-03
1841329992 Elena A. Olivas Nurse Practitioner 865 N Main, Anthony, NM 88021-9325 2007-03-05
1669501813 Ramsey Allen Nurse Practitioner 1306 W Stevens St, Carlsbad, NM 88220-4240 2007-03-05
1841329307 Susan Lorraine Garrison Nurse Practitioner 2610 N Silver St, Silver City, NM 88061-7299 2007-03-02
1699803890 Mary J Mendoza Nurse Practitioner 200 E Chisum St, Roswell, NM 88203-5406 2007-03-01
1902940109 Velia Luna I Nurse Practitioner 215 S Silver Ave, Deming, NM 88030-3715 2007-02-19
1295879443 Minerva Ann Claus Nurse Practitioner 1170 N Solano Dr Ste A, Las Cruces, NM 88001-2371 2007-02-19
Find all providers with the same taxonomy

Competitor

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City HOLLOMAN AFB
Zip Code 88330

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Dataset Information

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.

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