MRS. MELODY JO SMITH (NPI# 1407394901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407394901 |
| Entity Type | Individual |
| Full Name | MRS. MELODY JO SMITH |
| Practice Address |
2260 Raleigh Road Eldorado IL 62930 |
| Practice Telephone | 6182739394 |
| Mailing Telephone | 6182739394 |
| Mailing Fax Number | 6182739395 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 043081669 | IL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942786421 | Melody Smith | Nurse's Aide | 10021 City View Dr, Morrison, CO 80465-2362 | 2018-07-17 |
| 1467757872 | Melody Hope Smith | Social Worker | 16014 Vergi Ct., Clinton Township, MI 48038-4181 | 2011-01-14 |
| 1528264744 | Melody L Smith | Counselor | 602 E Summit St, Marshall, MO 65340-2760 | 2007-06-25 |
| 1962623025 | Melody Smith | Counselor | 199 W Palmetto Park Road, Suite 6, Boca Raton, FL 33432 | 2007-05-02 |
| 1265091078 | Melody Dawn Smith | Peer Specialist | 4100 Se Adams Rd Ste E108, Bartlesville, OK 74006-8409 | 2019-06-06 |
| 1083195572 | Melody Brown Smith | Speech-Language Pathologist | 9330 Broadway St, Pearland, TX 77584-7891 | 2018-08-23 |
| 1588192959 | Melody Smith | Case Manager/Care Coordinator | 500 N 9th St Ste B, Modesto, CA 95350-5814 | 2017-05-31 |
| 1558739763 | Melody H Smith | Counselor | 39 Broad St, Suite 206, Charleston, SC 29401-3019 | 2015-09-03 |
| 1952734162 | Melody Leigh Smith | Nurse Practitioner | 342 Cox Blvd, Sheffield, AL 35660-4020 | 2013-08-12 |
| 1831430867 | Melody Lee Smith | Licensed Practical Nurse | 260 Cumberland Bnd, Nashville, TN 37228-1804 | 2013-03-15 |
| Street Address |
2260 RALEIGH ROAD |
| City | ELDORADO |
| State | IL |
| Zip Code | 62930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164951802 | Jeanette Long X | Licensed Practical Nurse | 70 Alexander St, Eldorado, IL 62930 | 2017-06-07 |
| 1720510514 | Mckayla Addison Wren | Counselor | 1412 Us. 45n, Eldorado, IL 62930 | 2017-03-30 |
| 1205250412 | Becks Long Term Care Pharmacy Inc | Pharmacy | 1413 Locust Street, Eldorado, IL 62930 | 2014-02-07 |
| 1346559283 | Danny Ray Phillips | Pharmacist | 1021 Us Hwy 45 North, Eldorado, IL 62930 | 2010-09-27 |
| 1447434477 | Elana Ruth Floyd-kennett | Social Worker | 1007 Route 45, Eldorado, IL 62930 | 2007-12-27 |
| 1417150376 | Luke Tyler Hall | Family Medicine | 1407 Locust St, Eldorado, IL 62930 | 2007-06-07 |
| 1134320039 | Eldorado Community Unit School District #4 | Local Education Agency (LEA) | 1040 Washington, Eldorado, IL 62930 | 2007-05-29 |
| 1013071026 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 1204 U.S. 45 N., Eldorado, IL 62930 | 2006-12-21 |
| 1467536557 | Debra Dian Rumsey | Licensed Practical Nurse | 607 4th Street, Eldorado Rural Health Clinic, Eldorado, IL 62930 | 2006-10-25 |
| 1902989429 | Barbara L Kreps | Licensed Practical Nurse | 6007 4th Street, Eldorado Rural Health Clinic, Eldorado, IL 62930 | 2006-10-21 |
| Find all providers in zip 62930 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1730651829 | Walker Lee Shavez | Licensed Practical Nurse | 420 Goolsby Rd, Eldorado, IL 62930-3647 | 2018-12-30 |
| 1164951802 | Jeanette Long X | Licensed Practical Nurse | 70 Alexander St, Eldorado, IL 62930 | 2017-06-07 |
| 1740728674 | Katie Rawlings | Licensed Practical Nurse | 72 Alexander St, Eldorado, IL 62930-3390 | 2017-02-11 |
| 1184162273 | Alexandra Jean Barton | Licensed Practical Nurse | 405 Country Acres Ln, Eldorado, IL 62930-3430 | 2017-02-08 |
| 1114182417 | Joann O Overholser | Licensed Practical Nurse | 351 Maple St., Eldorado, OH 45321-0176 | 2008-07-25 |
| 1467536557 | Debra Dian Rumsey | Licensed Practical Nurse | 607 4th Street, Eldorado Rural Health Clinic, Eldorado, IL 62930 | 2006-10-25 |
| 1902989429 | Barbara L Kreps | Licensed Practical Nurse | 6007 4th Street, Eldorado Rural Health Clinic, Eldorado, IL 62930 | 2006-10-21 |
| 1386727808 | Brigitte D Browning | Licensed Practical Nurse | B06 Maple Street, Doctors Clinic, Eldorado, IL 62930 | 2006-10-21 |
| 1881795953 | Vickie L Bowers | Licensed Practical Nurse | 1306 Maple, Doctors Clinic, Eldorado, IL 62930 | 2006-09-25 |
| 1457452518 | Penny Jo Vaughn | Licensed Practical Nurse | 1306 Maple Street, Doctors Clinic, Eldorado, IL 62930 | 2006-09-25 |
| Find all providers in ELDORADO | ||||
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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.