MS. THERESA ADELE SMITH (NPI# 1306115332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306115332 |
| Entity Type | Individual |
| Full Name | MS. THERESA ADELE SMITH |
| Credential | N.P. |
| Practice Address |
3300 E South St Suite #: 102 Lakewood CA 90805-4549 |
| Practice Telephone | 5622321144 |
| Practice Fax Number | 5626303052 |
| Mailing Telephone | 5622321144 |
| Mailing Fax Number | 5626303052 |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |
| 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 |
NP#10742 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467980052 | Theresa P Smith | Technician | 2301 11th St Nw Apt 116, Washington, DC 20001-2245 | 2017-05-26 |
| 1942651518 | Theresa Smith | Pediatrics | 5580 Celestial Dr, Atwater, CA 95301-3119 | 2016-06-24 |
| 1346516697 | Theresa Smith | Occupational Therapist | 33 Buttonwood Pl, Hazlet, NJ 07730-2173 | 2012-03-30 |
| 1356672604 | Theresa Monahan Smith | Registered Nurse | 177 Carroll Ave, Brockton, MA 02301-6315 | 2010-01-27 |
| 1801916283 | Theresa Faye Smith | Social Worker | 14 North Cottonwood Street, Woodland, AL 95695 | 2007-03-30 |
| 1841321486 | Theresa J Smith | Social Worker | 1119 S Elliott Ave, Aurora, MO 65605-2405 | 2007-03-07 |
| 1326119538 | Theresa Smith | Occupational Therapist | 7675 Phoenix Dr Apt 1025, Houston, TX 77030-4718 | 2006-11-10 |
| 1659312973 | Theresa Flynn Smith | Social Worker | 517 Tomahawk Ave, Black Mountain, NC 28711-2861 | 2006-06-09 |
| 1063476000 | Theresa L. Smith | Chiropractor | 122 E Walnut Ave, Suite C, Monrovia, CA 91016-3449 | 2006-04-14 |
| 1598366304 | Theresa Smith | Counselor | 239 W 9th St, Upland, CA 91786-5979 | 2020-11-06 |
| Street Address |
3300 E SOUTH ST SUITE #: 102 |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90805-4549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411684 | Sultanali Alidina | Internal Medicine | 3300 E South St, Suite 209, Lakewood, CA 90805-4549 | 2005-07-15 |
| 1396271763 | Priority Medical Care, Inc. | Internal Medicine | 3300 E South St, Suit 201, Lakewood, CA 90805-4549 | 2017-05-04 |
| 1568813723 | Kevin Kwok | Optometrist | 3300 E South St, Suite 105, Lakewood, CA 90805-4549 | 2016-06-28 |
| 1386048429 | Caremore Health Plan | Clinic/Center | 3300 E South St, #102, Lakewood, CA 90805-4549 | 2014-10-17 |
| 1730427436 | Mvm Medical Corporation | Internal Medicine | 3300 E South St, Ste 305, Lakewood, CA 90805-4549 | 2013-01-30 |
| 1154693307 | Rohun Medical Corporation | Specialist | 3300 E South St, Suite 206, Lakewood, CA 90805-4549 | 2012-02-03 |
| 1114218559 | Jesse J Licuanan Md A Medical Corporation | Internal Medicine | 3300 E South St, Suite 205, Lakewood, CA 90805-4549 | 2011-04-19 |
| 1689978140 | Amy Elizabeth Pound | Social Worker | 3300 E South St, Lakewood, CA 90805-4549 | 2010-12-27 |
| 1407165079 | Ronald Castillo Tejada Jr. | Internal Medicine | 3300 E South St, Suite 205, Lakewood, CA 90805-4549 | 2010-09-30 |
| 1164682738 | Theodore August Pasquali | Specialist | 3300 E South St, Suite 105, Lakewood, CA 90805-4549 | 2008-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| 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 |
|---|---|---|---|---|
| 1033720289 | Robin Jean Mills | Nurse Practitioner | 2162 Lewis Dr, Lakewood, OH 44107-6141 | 2020-08-12 |
| 1720646771 | Se Won Min | Nurse Practitioner | 9116 Gravelly Lake Dr Sw Ste 107, Lakewood, WA 98499-3148 | 2019-06-04 |
| 1790245736 | Therese Jean Calabrese | Nurse Practitioner | 7525 W 10th Ave # 100, Lakewood, CO 80214-4493 | 2019-03-25 |
| 1760966139 | Michelle Lea Bajema | Nurse Practitioner | 6212 75th St W # 1, Lakewood, WA 98499-8368 | 2018-09-20 |
| 1881097707 | Marjory Strawn | Nurse Practitioner | 7114 W Jefferson Ave Ste 306, Lakewood, CO 80235-2354 | 2014-10-06 |
| 1992077630 | Tzivya Kownat | Nurse Practitioner | 23 Kedma Dr, Lakewood, NJ 08701-3599 | 2012-01-26 |
| 1033118344 | Erin Alane Jacobson | Nurse Practitioner | 6212 75th St W, Lakewood, WA 98499-8368 | 2005-07-19 |
| 1780299495 | Rachel E King | Nurse Practitioner | 305 E Fairmount Ave, Lakewood, NY 14750-2000 | 2020-09-10 |
| 1073135505 | Se Hee Min | Nurse Practitioner | 9116 Gravelly Lake Dr Sw Ste 107, Lakewood, WA 98499-3148 | 2020-05-06 |
| 1255964268 | Casey Brown | Nurse Practitioner | 305 E Fairmount Ave, Lakewood, NY 14750-2000 | 2020-02-18 |
| Find all providers in LAKEWOOD | ||||
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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.