MRS. MICHELLE MARIE SMITH (NPI# 1407972805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407972805 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE MARIE SMITH |
| Credential | R.N. W.H.N.P. |
| Practice Address |
999 S Fairmont Ave 235 Lodi CA 95240-5100 |
| Mailing Address |
600 Coffee Rd Modesto CA 95355-4201 |
| Practice Telephone | 2093343333 |
| Mailing Telephone | 2095216097 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
14526 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720694326 | Michelle Smith | Physician Assistant | 2330 Andrea Ct, Melbourne, FL 32934-7601 | 2020-09-18 |
| 1689288367 | Michelle Smith | Massage Therapist | 1230 Jayhil Dr, Minneola, FL 34715-5200 | 2020-09-01 |
| 1740806942 | Michelle N Smith | Registered Nurse | 1220 E. 2nd Avenue, Monmouth, IL 61462 | 2020-06-23 |
| 1891326377 | Michelle Smith | Registered Nurse | 609 Trees Dr, Cedar Hill, TX 75104-5084 | 2020-02-03 |
| 1285101758 | Michelle Smith | Counselor | 325 27th St, Dunbar, WV 25064-2211 | 2018-11-01 |
| 1467937060 | Michelle Smith | Counselor | 1509 Dorothy Nichols Ln Ste A-2, Smithville, TX 78957-1740 | 2018-09-28 |
| 1568940641 | Michelle Smith | Technician | 4914 7th St Nw # 1003, Washington, DC 20011-4002 | 2018-08-01 |
| 1588169551 | Michelle Sveiven Smith | Social Worker | 7064 W Point Douglas Rd S Ste 201, Cottage Grove, MN 55016-2691 | 2018-03-29 |
| 1568965770 | Michelle Leigh Smith | Counselor | 1580 R St, Penrose, CO 81240-9666 | 2018-03-14 |
| 1326554627 | Michelle Smith | Speech-Language Pathologist | 310 W Rockland Rd, Libertyville, IL 60048-2739 | 2017-12-21 |
| Street Address |
999 S FAIRMONT AVE 235 |
| City | LODI |
| State | CA |
| Zip Code | 95240-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401901 | Nicole Tate | Obstetrics & Gynecology | 999 S Fairmont Ave, Suite 225, Lodi, CA 95240-5100 | 2005-07-20 |
| 1629516620 | Ht Family Physicians | Family Medicine | 999 S Fairmont Ave, Suite 215, Lodi, CA 95240-5100 | 2017-02-09 |
| 1730531468 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave, Suite #125, Lodi, CA 95240-5100 | 2016-07-06 |
| 1780033084 | Adventist Health Physicians Network | Surgery | 999 S Fairmont Ave, Suite#100, Lodi, CA 95240-5100 | 2016-06-07 |
| 1245629526 | P. Gill Obsteterics & Gynecology Medical Group, Inc | Registered Nurse | 999 S Fairmont Ave, Ste. 230, Lodi, CA 95240-5100 | 2015-01-09 |
| 1598183444 | Patricia Lynn Kennel | Internal Medicine | 999 S Fairmont Ave, Lodi, CA 95240-5100 | 2014-03-28 |
| 1215359534 | Deborah Planchard | Audiologist | 999 S Fairmont Ave, Suite 215, Lodi, CA 95240-5100 | 2014-01-07 |
| 1851650469 | Alecia Nicole Russell | Obstetrics & Gynecology | 999 S Fairmont Ave, Ste. 230, Lodi, CA 95240-5100 | 2012-05-16 |
| 1396018727 | Lodi Memorial Hospital Association Inc | Clinic/Center | 999 S Fairmont Ave, Suite 100, Lodi, CA 95240-5100 | 2012-02-15 |
| 1851684930 | Rajeev Shukla Md Inc | Internal Medicine | 999 S Fairmont Ave, Suite 135, Lodi, CA 95240-5100 | 2011-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034991 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1139 E. Kettleman Lane, Suite 101, Lodi, CA 95240 | 2020-02-07 |
| 1548747082 | Gill and Patel Dental Corporation | Dentist | 2610 Reynolds Ranch Pkwy, Ste 100, Lodi, CA 95240 | 2018-07-27 |
| 1629511308 | Jose Daniel Garcia | Licensed Vocational Nurse | 12755 Ca-88, Lodi, CA 95240 | 2016-11-29 |
| 1104372754 | Jocelyn Janel Shilue | Specialist/Technologist | 705 Brandywine Drive, Lodi, CA 95240 | 2016-09-01 |
| 1750735965 | Natharchia R Peoples | Counselor | 9150 Ca-12, Lodi, CA 95240 | 2016-04-14 |
| 1891189403 | Valley Community Couseling Services | Case Management | 1300 W. Lodi Ste G-2, Stockton, CA 95240 | 2015-03-20 |
| 1114317195 | Carol Kooyman | Speech-Language Pathologist | 831 So. Lee Ave., Lodi, CA 95240 | 2015-01-29 |
| 1730514464 | Richard Barry Sirard | Pharmacist | 520 S Cherokee Lane, Lodi, CA 95240 | 2013-09-12 |
| 1740622570 | Joshlynn Uribe | Marriage & Family Therapist | 13520 E Live Oak Rd, Lodi, CA 95240 | 2013-07-22 |
| 1902172406 | Sital Singh | Internal Medicine | 999 S Fairmont Ave Ste 125, Lodi, CA 95240 | 2012-03-29 |
| Find all providers in zip 95240 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316050321 | Susan Mary Williams | Nurse Practitioner | 441 S Ham Ln, Suite A, Lodi, CA 95242-3525 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162806 | Joan Elizabeth Kailany | Nurse Practitioner | 3344 Bartlett Ave, Rosemead, CA 91770-2773 | 2020-10-19 |
| 1447864541 | Lauren Sanchez | Nurse Practitioner | 145 Mission Ranch Blvd Ste 115, Chico, CA 95926-2296 | 2020-09-04 |
| 1417569526 | Katherine Jeanne Stafford | Nurse Practitioner | 34952 Gail Ave, Yucaipa, CA 92399-2830 | 2020-08-19 |
| 1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
| 1942832894 | Bryonna Mathews | Nurse Practitioner | 362 Euclid Ave Apt 304, Oakland, CA 94610-3217 | 2020-02-09 |
| 1881224533 | Brittany Justine Ayala-patlan | Nurse Practitioner | 4034 S Carneros Ave, Ontario, CA 91761-3821 | 2020-01-22 |
| 1013547090 | Erin Elizabeth Murdock | Nurse Practitioner | 1986 Hummingbird Dr, Fairfield, CA 94534-6694 | 2020-01-18 |
| 1053950287 | Caitlin Rota | Nurse Practitioner | 432 S Pacific Coast Hwy, Redondo Beach, CA 90277-3735 | 2020-01-06 |
| 1578109302 | Ariel Rankin Mcdonald | Nurse Practitioner | 8920 Wilshire Blvd Ste 511, Beverly Hills, CA 90211-1949 | 2019-11-27 |
| 1093371478 | Fion Tai | Nurse Practitioner | 279 Tustin Field Dr, Tustin, CA 92782-6523 | 2019-05-12 |
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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.