ALFONSO SMITH (NPI# 1356867972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356867972 |
| Entity Type | Individual |
| Full Name | ALFONSO SMITH |
| Practice Address |
4451 Powcan Rd Bruington VA 23023-4163 |
| Mailing Address |
Po Box 2941 Tappahannock VA 22560-2941 |
| Practice Telephone | 8042966323 |
| Mailing Telephone | 8042966323 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164067740 | Alfonso Lamar Smith | Massage Therapist | 4216 Garrett Rd Apt A11, Durham, NC 27707-6159 | 2019-11-07 |
| Street Address |
4451 POWCAN RD |
| City | BRUINGTON |
| State | VA |
| Zip Code | 23023-4163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477887198 | King's Heart Reidential and Family Services | Community Based Residential Treatment Facility, Mental Illness | 1720 Norwood Rd, Bruington, VA 23023-4158 | 2009-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477887198 | King's Heart Reidential and Family Services | Community Based Residential Treatment Facility, Mental Illness | 1720 Norwood Rd, Bruington, VA 23023-4158 | 2009-09-28 |
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385375 | David Lee Rosenbaum | Driver | 127 Hemlock St, Marion, VA 24354-4403 | 2020-10-31 |
| 1902404627 | Kevin Mercer | Driver | 703 W 14th St, Front Royal, VA 22630-2915 | 2020-10-14 |
| 1417554288 | Kenneth Donnell Coles | Driver | 44 W Sherwood Ave, Hampton, VA 23663-1403 | 2020-10-05 |
| 1992302673 | Rodney Larmont Carter Sr. | Driver | 205 Maple Springs Dr, Axton, VA 24054-2303 | 2020-10-05 |
| 1487261921 | Chantrise N Ratliff | Driver | 553 Jessica Cir, Newport News, VA 23606-3761 | 2020-09-29 |
| 1285240523 | Burley Walter Ball Jr. | Driver | 4313 Buckingham Rd, Coeburn, VA 24230 | 2020-09-22 |
| 1639785918 | Randy Bell | Driver | 6113 W Stonepath Garden Dr, Chester, VA 23831-3730 | 2020-09-22 |
| 1700498300 | Lisa Foster | Driver | 9562 19th Bay St Apt A, Norfolk, VA 23518-6211 | 2020-08-17 |
| 1437769213 | Marvin L Harris | Driver | 29 Ridgewood Pkwy, Newport News, VA 23608-1918 | 2020-08-05 |
| 1003425422 | T'onna Logan Clary | Driver | 18029 Highway Fifty Eight, Boydton, VA 23917-2820 | 2020-07-31 |
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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.