DEWANNA L SMITH (NPI# 1295818243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295818243 |
Entity Type | Individual |
Full Name | DEWANNA L SMITH |
Other Name | JOE B SMITH JR. |
Practice Address |
712 S Kenyon Ct Tucson AZ 85710-5902 |
Practice Telephone | 5207223396 |
Practice Fax Number | 5207221147 |
Mailing Telephone | 5207223396 |
Mailing Fax Number | 5207221147 |
Enumeration Date | 2006-10-23 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
4051 | AZ | Respite Care Facility |
Street Address |
712 S KENYON CT |
City | TUCSON |
State | AZ |
Zip Code | 85710-5902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689220691 | Elidia Beas Newbold | Technician | 9122 E. Calle Maria, Tuscon, AZ 85710 | 2019-08-15 |
1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
1316438351 | Life Aligned Regenerative Medical Center LLC | General Practice | 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 | 2018-05-25 |
1497264253 | Beverly Capili | Nurse Practitioner | 6622 East Carondelet Drive, Tucson, AZ 85710 | 2017-09-25 |
1629590120 | Linsey Nicole Tomaro | Physician Assistant | 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 | 2017-07-17 |
1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
1346762713 | Friday Sika | Respite Care | 8251 E. Kenyon Dr., Tucson, AZ 85710 | 2017-07-07 |
1821536228 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 | 2017-02-06 |
1659727816 | Mwangaza Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 8421 E. Colette St, Tucson, AZ 85710 | 2016-05-06 |
1124494240 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 921 S Prudence Rd, Tucson, AZ 85710 | 2015-08-12 |
Find all providers in zip 85710 |
Taxonomy Code | 385HR2055X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Specialization | Respite Care, Mental Illness, Child |
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912539941 | Elizabeth Ann Mannel | Respite Care | 1225 W Panorama Rd, Tucson, AZ 85704-2834 | 2020-02-07 |
1366097073 | Lisa Ann Harper | Respite Care | 6910 N Sanders Rd, Tucson, AZ 85743-8174 | 2019-08-08 |
1699329904 | Robin Allen | Respite Care | 9390 N Jessy Ln, Tucson, AZ 85742-9124 | 2019-07-25 |
1558859447 | Veronica Molina-hubbard | Respite Care | 3131 W Los Reales Rd, Tucson, AZ 85746-8232 | 2018-04-25 |
1154827830 | Ola Mt Bakir | Respite Care | 9503 N Stonebrook Dr, Tucson, AZ 85743-5488 | 2018-04-02 |
1922513068 | Casey Partiz | Respite Care | 2625 N Norton Ave, Tucson, AZ 85719-3234 | 2017-12-12 |
1619492121 | Marquie L. Walker | Respite Care | 5121 E 29th St Apt 125, Tucson, AZ 85711-5802 | 2017-08-04 |
1720532203 | Roseanna Gonzalez | Respite Care | 5545 S Cassia Way, Tucson, AZ 85706-3409 | 2016-08-12 |
1871957001 | Arizona's Children Association | Respite Care | 3716 E Columbia St Ste 120, Tucson, AZ 85714-3414 | 2016-04-13 |
1902262173 | Luz Vasquez | Respite Care | 1929 S Magnolia Ave, Tucson, AZ 85711-6531 | 2016-01-04 |
Find all providers in TUCSON |
Please comment or provide details below to improve the information on DEWANNA L 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.