PATRICIA A SMITH (NPI# 1407024243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407024243 |
| Entity Type | Individual |
| Full Name | PATRICIA A SMITH |
| Credential | RN |
| Practice Address |
301 Andrews Ave Lyster Army Health Clinic Fort Rucker AL 36362 |
| Practice Telephone | 3342557577 |
| Practice Fax Number | 3342557223 |
| Mailing Telephone | 3342557577 |
| Mailing Fax Number | 3342557223 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 1-069215 | AL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721543 | Patricia Lynn Smith | Technician | 323 Berkeley St Apt B, Charleston, WV 25302-2101 | 2020-08-18 |
| 1962021451 | Patricia Smith | Registered Nurse | 26 Lachapelle St, Worcester, MA 01604-2433 | 2020-04-14 |
| 1669938544 | Patricia Ann Smith | Community/Behavioral Health | 385 Victoria Heights Dr, Dallas, GA 30132-9276 | 2019-02-14 |
| 1326538836 | Patricia Smith | Peer Specialist | 75 N Madison St, Glouster, OH 45732-1167 | 2018-05-10 |
| 1316449549 | Patricia Smith | Nurse Practitioner | 302 Vision Ct, Palm Beach Gardens, FL 33418-3824 | 2018-03-03 |
| 1467909077 | Patricia Hicks Smith | Nurse Practitioner | 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-09-01 |
| 1588110092 | Patricia Lawrence Smith | Early Intervention Provider Agency | 3932 172nd St, Country Club Hills, IL 60478-4638 | 2016-08-26 |
| 1689020380 | Patricia Anne Smith | Nurse Practitioner | 634 Sw Mulvane St Ste 209, Topeka, KS 66606-1678 | 2016-05-11 |
| 1972965812 | Patricia Smith | Counselor | 1225 Figuero Way, Carson City, NV 89701-5382 | 2016-03-21 |
| 1912383993 | Patricia Smith | Psychologist | 2840 Nw 2nd Ave Ste 104, Boca Raton, FL 33431-6692 | 2015-08-03 |
| Street Address |
301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC |
| City | FORT RUCKER |
| State | AL |
| Zip Code | 36362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407845589 | Craig Brian Collier | Preventive Medicine | 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2005-10-20 |
| 1225638059 | Mary Sue Mercer | Licensed Practical Nurse | 301 Andrews Ave, Fort Rucker, AL 36362 | 2020-10-30 |
| 1619577673 | Reagan Alanee Jacobs | Licensed Practical Nurse | 301 Andrews Ave, Fort Rucker, AL 36362 | 2020-10-29 |
| 1417556424 | Edwin Brint Hollis | Physical Medicine & Rehabilitation | 301 Andrews Ave, Fort Rucker, AL 36362 | 2020-10-21 |
| 1134746506 | Daniel William Jones | Physical Therapy Assistant | 301 Andrews Ave, Fort Rucker, AL 36362 | 2020-07-01 |
| 1275169088 | Mahalia Leontine Goodman | Technician/Technologist | 301 Andrews Ave, Fort Rucker, AL 36362 | 2020-03-13 |
| 1801429493 | Debra D Davis | Licensed Practical Nurse | 301 Andrews Ave, Fort Rucker, AL 36362 | 2020-02-21 |
| 1669004131 | Shelby C Davis | Licensed Practical Nurse | 301 Andrews Ave, Fort Rucker, AL 36362-5333 | 2020-02-12 |
| 1407488067 | Bethany Neve | Registered Nurse | 301 Andrews Ave, Fort Rucker, AL 36362-5333 | 2020-02-11 |
| 1851923601 | Kevin Charles Ottiano | Emergency Medical Technician, Basic | 301 Andrews Ave, Fort Rucker, AL 36362 | 2020-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
| 1417589268 | Jacob Michael Lezon | Emergency Medical Technician, Basic | 30501 Nevins St., Ft. Rucker, AL 36362 | 2020-02-10 |
| 1225535388 | Rhonda Lewis Wesolek | Dental Hygienist | Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 | 2018-04-06 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1750730958 | Teresa Morgan Knighten | Dental Hygienist | 4405 Innkeepers St, Fort Rucker, AL 36362 | 2016-06-08 |
| 1568826246 | David Virgil II | Technician, Other | 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 | 2016-04-08 |
| 1356771257 | Robert E Smith | Emergency Medical Technician, Intermediate | Blding 301 Andrew Ave, Ft Rucker, AL 36362 | 2013-11-14 |
| 1548503469 | Lindsey Taylor Mendenhall | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2013-03-28 |
| 1689913808 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Fort Rucker Bldg. 9214, Daleville, AL 36362 | 2013-02-07 |
| 1275880205 | Sandra Lynn Griffin Banner | Optometrist | 33 Endl Ave, Fort Rucker, AL 36362 | 2012-08-09 |
| Find all providers in zip 36362 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467882464 | Nilka Maria Lavergne | Registered Nurse | 75 N Harris Dr, Fort Rucker, AL 36362-2349 | 2013-11-13 |
| 1407488067 | Bethany Neve | Registered Nurse | 301 Andrews Ave, Fort Rucker, AL 36362-5333 | 2020-02-11 |
| 1093261232 | Kristin Henderson | Registered Nurse | 301 Andrews Avenue, Fort Rucker, AL 36362 | 2016-08-28 |
| 1457756140 | Angela Cape | Registered Nurse | 301 Andrews Avenue, Fort Rucker, AL 36362 | 2014-10-24 |
| 1033513338 | Angela Green | Registered Nurse | Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2014-10-15 |
| 1639571300 | Julee Wood | Registered Nurse | Lyster Army Health Clinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362-5333 | 2014-09-24 |
| 1639578693 | Shilo Beving | Registered Nurse | Bldg 301 Andrews Avenue, Fort Rucker, AL 36362 | 2014-08-15 |
| 1073927844 | Justin Tetreault | Registered Nurse | 301 Andrews Ave, Lyster Army Health Clininc, Fort Rucker, AL 36362-5333 | 2014-06-19 |
| 1275943292 | Mary Hannes | Registered Nurse | Bldg 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2014-04-29 |
| 1487077889 | Milton Cassady | Registered Nurse | 301 Andrews Avenue, Us Army Aeromedical Center, Fort Rucker, AL 36362-5333 | 2014-01-22 |
| Find all providers in FORT RUCKER | ||||
| City | FORT RUCKER |
| Zip Code | 36362 |
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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.