MS. HOLLY MARIE SMITH (NPI# 1417590035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417590035 |
| Entity Type | Individual |
| Full Name | MS. HOLLY MARIE SMITH |
| Other Name | MISS HOLLY MARIE JOHNSON |
| Practice Address |
4849 Sedona Dr Eugene OR 97404-3309 |
| Mailing Address |
215 Heritage Ave Eugene OR 97404-2691 |
| Practice Telephone | 5413376976 |
| Mailing Telephone | 5413376976 |
| Enumeration Date | 2019-10-27 |
| Last Update Date | 2019-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 174200000X | Meals | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053804237 | Holly Smith | Registered Nurse | 1020 S Main Street, Salt Lake City, UT 84101 | 2018-06-12 |
| 1003350885 | Holly Smith | Occupational Therapy Assistant | 581 Cr 115, Hickory Ridge, AR 72347-9203 | 2016-12-13 |
| 1962953844 | Holly Christy Smith | Licensed Practical Nurse | 2621 Calliope Way, Apt. 104, Raleigh, NC 27616-5138 | 2016-10-17 |
| 1740638857 | Holly A Smith | Nurse Practitioner | 5 Bel Air Parkway, Suite 1535, Bel Air, MD 21015 | 2016-05-31 |
| 1457717571 | Holly Michelle Smith | Counselor | 2602 Oakstone Dr Ste 3, Columbus, OH 43231-7613 | 2016-01-05 |
| 1437555281 | Holly Angela Smith | Counselor | 1445 Pearl St, Suite 206, Boulder, CO 80302-5343 | 2014-11-06 |
| 1316359953 | Holly Smith | Occupational Therapy Assistant | 1120 Meadowvale Dr, Beaumont, TX 77706-3881 | 2014-06-02 |
| 1952643603 | Holly Nichole Smith | Family Medicine | 6866 W Stonegate Dr, Suite 100, Zionsville, IN 46077-8050 | 2013-03-20 |
| 1053687970 | Holly Bentz Smith | Internal Medicine | 17183 I H 45 S Ste 530, Shenandoah, TX 77385 | 2012-03-25 |
| 1609161884 | Holly Alise Smith | Counselor | 432 Sand Ridge Dr, Valrico, FL 33594-4057 | 2011-06-15 |
| Street Address |
4849 SEDONA DR |
| City | EUGENE |
| State | OR |
| Zip Code | 97404-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503293 | Calvin Daniel Smith | Denturist | 65 Irving Rd, Eugene, OR 97404 | 2017-12-07 |
| 1053838581 | Breann Nicole Martin | Psychologist | 366 Greenfield Ave, Eugene, OR 97404 | 2017-08-25 |
| 1376071464 | Mckenzie Living, Incorporated | Custodial Care Facility | 2621 Lone Oak Way, Eugene, OR 97404 | 2017-06-01 |
| 1205382520 | Gudatu Wotcha | Counselor | 550 River Rd., Eugene, OR 97404 | 2016-08-28 |
| 1750786828 | Orion Emelio | Registered Nurse | 1366 Andersen Ln, Eugene, OR 97404 | 2014-10-30 |
| 1922407634 | Cheyenne Huddleston | Massage Therapist | 48 Irving Rd., Eugene, OR 97404 | 2014-08-19 |
| 1437593258 | Aaron Morgan Varela | Counselor | 348 Ruby Ave., Eugene, OR 97404 | 2013-04-23 |
| 1245579994 | The Eye Center LLC | Ophthalmology | 65 Division Ave Ste E, Eugene, OR 97404 | 2013-01-31 |
| 1073888251 | Zachary Newell | Mechanotherapist | 902 Travis Ave, Eugene, OR 97404 | 2012-03-20 |
| 1225301732 | Spencer Dean Moncur | Counselor | 550 Rivier Road, Eugene, OR 97404 | 2012-02-14 |
| Find all providers in zip 97404 | ||||
| Taxonomy Code | 174200000X |
| Grouping | Other Service Providers |
| Classification | Meals |
| A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| Notes: Source: SD DSS Non-Emergency Medical Transportation program Transportation Services [7/1/2010: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245746080 | Medical Service Transport LLC | Meals | 3701 Scenic Dr, Eugene, OR 97404-1339 | 2017-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952923757 | Justin Cummings | Meals | 10105 N. Oswego Ave, Portland, OR 97203 | 2020-05-14 |
| 1235646266 | D & K Harbick Five LLC | Meals | 91804 Mill Creek Rd, Blue River, OR 97413-9711 | 2017-12-29 |
| 1346659695 | Ronald Mcdonald House Charities of Oregon and Southwest Washington | Meals | 2620 N Commercial Ave, Portland, OR 97227-1631 | 2014-08-11 |
Please comment or provide details below to improve the information on MS. HOLLY MARIE 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.