NICOLE SMITH (NPI# 1316097538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316097538 |
| Entity Type | Individual |
| Full Name | NICOLE SMITH |
| Practice Address |
Rt. 10 Three Mile Curve Logan WV 25601-9998 |
| Mailing Address |
Po Box 176 Logan WV 25601-0176 |
| Practice Telephone | 3047927130 |
| Practice Fax Number | 3047927146 |
| Mailing Telephone | 3047927130 |
| Mailing Fax Number | 3047927146 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2010-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
923 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0005460002 | 05 | |
| WV | 0005460000 | 05 | |
| WV | 0005460001 | 05 | |
| WV | 3810011604 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712288 | Nicole Christina Smith | Advanced Practice Midwife | 8821 Foxgate Ct, Huber Heights, OH 45424-1103 | 2020-08-26 |
| 1396357356 | Nicole Lynn Smith | Behavior Technician | 1221 Maiden Choice Ln, Baltimore, MD 21229-5414 | 2020-08-20 |
| 1790393064 | Nicole L Smith | Nurse Practitioner | 505 Bingham Dr, Mcdonough, GA 30253-8050 | 2020-07-22 |
| 1144847807 | Nicole Francine Smith | Speech-Language Pathologist | 1643 Victoria Pointe Cir, Weston, FL 33327-1311 | 2020-06-29 |
| 1558981803 | Nicole Nadine Smith | Nurse Practitioner | 508 Wicklow Ct, Forest Hill, MD 21050-1644 | 2020-04-16 |
| 1568016921 | Nicole Renee Smith | Dentist | 8005 W 110th St Ste 220, Overland Park, KS 66210-2619 | 2019-07-24 |
| 1700448677 | Nicole E Smith | Registered Nurse | 4000 Bienville St Ste G, New Orleans, LA 70119-5163 | 2019-07-01 |
| 1720550809 | Nicole Sharron Smith | Nurse Practitioner | 3724 N 3rd St # 201, Phoenix, AZ 85012-2034 | 2018-12-29 |
| 1083184337 | Nicole Marie Smith | Psychologist | 124 Saddle Loop Unit B, Bigfork, MT 59911-3663 | 2018-11-29 |
| 1952880635 | Nicole Sharay Smith | In Home Supportive Care | 2150 Lincoln Ave, Cincinnati, OH 45224-1828 | 2018-08-13 |
| Street Address |
RT. 10 THREE MILE CURVE |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433059 | Steven Lucero | Psychologist | 93 S 1250 E, Logan, UT 84321-6770 | 2020-10-05 |
| 1598216731 | Bruce R. Johns, Ph.d., P.C. | Psychologist | 246 E 1260, N, Logan, UT 84341-6244 | 2016-10-24 |
| 1679865000 | Noel Carson Gill | Psychologist | 642 N 1000 W, Ste 107, Logan, UT 84321-3130 | 2011-05-03 |
| 1033408547 | David W. Smart | Psychologist | 175 W 1400 N. Ste A, Lds Family Services, Logan, UT 84341 | 2011-04-05 |
| 1578739215 | Martin J. Toohill | Psychologist | 6813 Old Main Hl, Center for Persons With Disabilities, Logan, UT 84322-6813 | 2008-05-02 |
| 1831102052 | Bruce R. Johns | Psychologist | 246 E 1260 N, Logan, UT 84341 | 2006-08-15 |
| 1427062074 | Anthony J Strelich | Psychologist | 1755 N 400 E Ste 102, Logan, UT 84341-1960 | 2006-07-28 |
| 1063044865 | Rick Anthony Cruz | Psychologist | 6405 Old Main Hill, Logan, UT 84322-6405 | 2020-02-10 |
| 1073059580 | Monique Frazier, Ph.d., P.C. | Psychologist | 246 E 1260 N, Logan, UT 84341-7501 | 2017-01-09 |
| 1881146223 | Rebecca Kate Blais | Psychologist | 2810 Old Main Hl, Logan, UT 84322-2810 | 2016-11-02 |
| Find all providers in LOGAN | ||||
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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.