LEANNA MARIE BROOKS SMITH (NPI# 1407847726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407847726 |
| Entity Type | Individual |
| Full Name | LEANNA MARIE BROOKS SMITH |
| Other Name | LEANNA BROOKS SMITH |
| Credential | CNP |
| Practice Address |
2900 Doolittle Drive Ellsworth Air Force Base SD 57760 |
| Mailing Address |
2900 Doolittle Drive Atten Medical Staff Services Ellsworth Air Force Base SD 57706 |
| Practice Telephone | 6053853111 |
| Mailing Telephone | 6053853111 |
| Mailing Fax Number | 6053853680 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP000344 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | LICENSE | CP000344 | 01 |
| Street Address |
2900 DOOLITTLE DRIVE |
| City | ELLSWORTH AIR FORCE BASE |
| State | SD |
| Zip Code | 57760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417120494 | Newell School District | Local Education Agency (LEA) | 501 Dartmouth, Newell, SD 57760 | 2008-04-10 |
| 1326189754 | Regional Health Physicians Inc | Clinic/Center | 101 E. Third St., Newell, SD 57760 | 2007-02-09 |
| 1851324024 | Dale A Hogen | Family Medicine | 101 E. 3rd St, Newell, SD 57760 | 2006-07-09 |
| 1528272382 | Regional Health Physicians Inc | Clinic/Center | 101 East Third Street, Newell, SD 57760 | 2007-05-10 |
| 1700090560 | Regional Health Physicians Inc | Clinic/Center | 101 East Third Street, Newell, SD 57760-0468 | 2007-05-10 |
| 1285023549 | Lacy Liggett | Nurse's Aide | 18551 Viken Rd, Newell, SD 57760-5832 | 2015-01-09 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000333 | Michelle Marie Mehrer | Nurse Practitioner | 307 St Joe St, Rapid City, SD 57701-2828 | 2020-07-21 |
| 1922625854 | Mindy Thompson | Nurse Practitioner | 2501 S Louis Ave, Sioux Falls, SD 57109-4601 | 2020-06-26 |
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1972139095 | Amanda Wortman | Nurse Practitioner | 24276 166th St, Airport Rd, Eagle Butte, SD 57625-1012 | 2020-03-20 |
| 1013567627 | Kasandra Wheeler | Nurse Practitioner | 1309 W 17th St Ste 1, Sioux Falls, SD 57104-4663 | 2019-09-16 |
| 1760040190 | Anna Gagliano | Nurse Practitioner | 1324 Panorama Cir, Rapid City, SD 57701-9221 | 2019-05-31 |
| 1508334772 | Sophia Lenter | Nurse Practitioner | 1325 Stewart Dr, Aberdeen, SD 57401-2682 | 2018-11-06 |
| 1457827834 | Katlyn Elizabeth Rostyne | Nurse Practitioner | 302 S Dumont Ave, Woonsocket, SD 57385 | 2018-10-23 |
| 1417422031 | Anna Bruce | Nurse Practitioner | 741 Mt View Rd, Rapid City, SD 57702-2540 | 2018-10-10 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| Find all providers with the same taxonomy | ||||
| City | ELLSWORTH AIR FORCE BASE |
| Zip Code | 57760 |
Please comment or provide details below to improve the information on LEANNA MARIE BROOKS SMITH.
| 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.