MISS EBONY MICHELLE SMITH (NPI# 1376874339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376874339 |
| Entity Type | Individual |
| Full Name | MISS EBONY MICHELLE SMITH |
| Practice Address |
912 Black Jack Ln Moore OK 73160-0900 |
| Practice Telephone | 4054066010 |
| Mailing Telephone | 4054066010 |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376104950 | Ebony Smith | Registered Nurse | 5920 Burger St, Dearborn Heights, MI 48127-2412 | 2019-06-25 |
| 1205496809 | Ebony Smith | Technician | 8469 Pattette Pl, White Plains, MD 20695-3497 | 2019-06-17 |
| 1811402449 | Ebony Smith | Home Health Aide | 1837 Nw 2nd St, Ocala, FL 34475-6342 | 2017-12-05 |
| 1790204980 | Ebony Michelle Smith | Counselor | 6851 Plymouth Rd Apt 24, Stockton, CA 95207-2321 | 2017-09-19 |
| 1255683967 | Ebony M. Smith | Licensed Practical Nurse | 328 Interchange Dr, Fayetteville, NC 28311-7417 | 2012-10-04 |
| 1366724254 | Ebony Smith | Pharmacist | 5004 W Esplanade Ave, Metairie, LA 70006-2551 | 2011-09-15 |
| 1588261606 | Ebony Etashia Smith | Home Health Aide | 130 George St Ste J, Beckley, WV 25801-2648 | 2020-10-01 |
| 1568010833 | Ebony Smith | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2019-08-29 |
| 1871035394 | Ebony Jolan Smith | Counselor | 8211 Summa Ave, Suite F, Baton Rouge, LA 70809 | 2016-11-15 |
| 1669838421 | Ebony L Smith | Licensed Practical Nurse | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2016-01-11 |
| Street Address |
912 BLACK JACK LN |
| City | MOORE |
| State | OK |
| Zip Code | 73160-0900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982006789 | Jeffrey Johns | Psychologist | 8763 N 97th East Ave Apt 207, Owasso, OK 74055-6864 | 2014-09-23 |
| 1659771996 | Jessica Pendergraft | Psychologist | 615 Amy Dr, Waukomis, OK 73773-1033 | 2014-08-22 |
| 1205249349 | Qiana Hawthorne | Psychologist | 104 Winter Wheat Dr, Guthrie, OK 73044-7750 | 2014-06-06 |
| 1962815902 | Robbin Vanwinkle | Psychologist | 1200 Prairie Heights Dr, Bartlesville, OK 74006-7800 | 2014-06-06 |
| 1275946683 | Silvia De Loera | Psychologist | 1416 Nw 126th St, Oklahoma City, OK 73120-5100 | 2014-06-04 |
| 1306256847 | Jonelle Freeman | Psychologist | 336 E Beech Ave, Enid, OK 73701-1702 | 2014-05-06 |
| 1114337664 | Katelyn James | Psychologist | 2020 Willow Run Ste 100, Enid, OK 73703-1421 | 2014-05-06 |
| 1043638760 | Jana Darnall | Psychologist | 405 N Neshoba St, Tishomingo, OK 73460-1247 | 2014-03-31 |
| 1114344223 | Jordan Harvey | Psychologist | 174 Daniels St, Healdton, OK 73438-1417 | 2014-03-26 |
| 1528489937 | Malerie Guilbeau | Psychologist | 1009 N Birch Ave, Sand Springs, OK 74063-8901 | 2014-01-02 |
| Find all providers with the same taxonomy | ||||
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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.