DEWANNA L SMITH


Address: 712 S Kenyon Ct, Tucson, AZ 85710-5902
Phone: 5207223396

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 712 S KENYON CT
City TUCSON
State AZ
Zip Code 85710-5902

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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
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Taxonomy Information

Taxonomy Code 385HR2055X
Grouping Respite Care Facility
Classification Respite Care
Specialization Respite Care, Mental Illness, Child

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City TUCSON
Zip Code 85710

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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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