MARIE G SMITH (NPI# 1447773783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447773783 |
| Entity Type | Individual |
| Full Name | MARIE G SMITH |
| Credential | RD |
| Practice Address |
575 4th St Kewaunee WI 54216 |
| Mailing Address |
744 S Webster Ave Green Bay WI 54301-3505 |
| Practice Telephone | 9203884640 |
| Practice Fax Number | 9203880479 |
| Mailing Telephone | 9204457226 |
| Mailing Fax Number | 9204457229 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2305-029 | WI | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICAID | PENDING | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1715 Dousman St, Green Bay, WI 543033211 | 9202721010 | |
| 307 Manor Dr, Suring, WI 541749182 | 9208422144 | 9208424111 |
| 744 S Webster Ave, Green Bay, WI 543013505 | 9204333500 | 9204457301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285186742 | Marie Jude Smith | Non-emergency Medical Transport (VAN) | 14411 S Eggleston Ave, Riverdale, IL 60827-2671 | 2016-11-01 |
| 1164976635 | Marie Smith | Dentist | 1420 Lincoln Way Ste 200, Coeur D Alene, ID 83814-2360 | 2016-08-12 |
| 1952481061 | Marie Wailes Smith | Social Worker | 4104 Lac Du Bay Dr, Harvey, LA 70058-6516 | 2006-10-16 |
| 1689177610 | Marie Emily Brobeck Smith | Nurse Practitioner | 3043 W Ina Rd, Tucson, AZ 85741-2107 | 2018-03-15 |
| 1295250272 | Marie Ann Smith | Counselor | 931 Westwood Dr Ste E, Marrero, LA 70072-2400 | 2017-08-10 |
| 1336510247 | Marie Smith | Nurse Practitioner | 3601 W 13 Mile Rd, Beaumont Children's Hospital Pediatric Neonatology, Royal Oak, MI 48073-6712 | 2015-10-19 |
| 1356732333 | Marie Smith | Pharmacy Technician | 25 S Gateway Dr, Fredericksburg, VA 22406-1228 | 2015-02-11 |
| 1942699962 | Marie Smith | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2015-01-14 |
| 1619219375 | Marie Augustina Smith | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2013-03-20 |
| 1831457464 | Marie Smith | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2012-05-02 |
| Street Address |
575 4TH ST |
| City | KEWAUNEE |
| State | WI |
| Zip Code | 54216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104811793 | Mark A Fuss | Physician Assistant | 575 4th St, Kewaunee, WI 54216-1785 | 2005-09-20 |
| 1851667265 | Allan James Olson | Family Medicine | 575 4th St, Kewaunee, WI 54216-1785 | 2012-03-29 |
| 1891009338 | Marcia Ann Hayes | Nurse Practitioner | 575 4th St, Kewaunee, WI 54216-1785 | 2010-07-26 |
| 1447395389 | Anthony Michael Sachse | Physical Therapist | 575 4th St, Kewaunee, WI 54216 | 2007-02-20 |
| 1144391483 | Teresa M Vanlanen | Occupational Therapist | 575 4th St, Kewaunee, WI 54216-1785 | 2006-11-10 |
| 1508829136 | Bellin Psychiatric Center Inc | Psychiatry & Neurology | 575 4th St, Kewaunee, WI 54216-1785 | 2006-04-06 |
| 1699737379 | Bellin Memorial Hospital Inc | Family Medicine | 575 4th St, Kewaunee, WI 54216-1785 | 2006-04-06 |
| 1366427502 | Thomas Michael Zenner | Family Medicine | 575 4th St, Kewaunee, WI 54216-1785 | 2005-12-09 |
| 1649254384 | Bonnie S Mueller-waigand | Physician Assistant | 575 4th St, Kewaunee, WI 54216-1785 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114436284 | Rebecca M Kasten | Massage Therapist | 224 Ellis St., Kewaunee, WI 54216 | 2017-09-21 |
| 1780932772 | Tricia Lynn Keister | Registered Nurse | N6028 County Road D, Kewaunee, WI 54216 | 2012-08-22 |
| 1295988061 | Carol Jean Mueller | Licensed Practical Nurse | N 1199 Hwy 42, Kewaunee, WI 54216 | 2008-10-24 |
| 1578754511 | Kenneth J & Marilyn M Secor | Assisted Living Facility | 1204 Fourth St, Kewaunee, WI 54216 | 2007-08-06 |
| 1073548046 | Aurora Pharmacy Inc | Pharmacy | 931 Marquette Dr, Kewaunee, WI 54216 | 2006-07-11 |
| 1376572529 | Richard James Seifert | Social Worker | 810 Lincoln St, Kewaunee, WI 54216 | 2006-07-01 |
| 1639141955 | Marcus Arnold Steele | Chiropractor | 1218 Ellis Street, Steele Chiropractic Clinic, Kewaunee, WI 54216 | 2006-02-02 |
| 1952429300 | Lori M Nellis | Social Worker | 810 Lincoln Street, Kewaunee, WI 54216 | 2007-03-26 |
| 1073663704 | Lakeshore Vision Centers Ltd | Clinic/Center | 1217 Ellis St, Kewaunee, WI 54216 | 2007-01-12 |
| 1720152853 | Kristin Lynn Veleke | Case Manager/Care Coordinator | 810 Lincoln Street, Kewaunee, WI 54216 | 2006-11-20 |
| Find all providers in zip 54216 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001909 | Wendy M Barth | Dietitian, Registered | N3035 Sidney Ave, Neillsville, WI 54456-7037 | 2020-10-21 |
| 1255946166 | Rachael Omdoll | Dietitian, Registered | 700 Airview Dr, Palmyra, WI 53156-9204 | 2020-09-09 |
| 1194336669 | Carly Duerst | Dietitian, Registered | W6068 Pioneer Rd, New Glarus, WI 53574-9735 | 2020-08-10 |
| 1730799636 | Bailey May Knutson | Dietitian, Registered | N44w6025 Hamilton Rd, Cedarburg, WI 53012-2454 | 2020-08-05 |
| 1538778550 | Kirsten White | Dietitian, Registered | W3021 Cara Way, Appleton, WI 54915-3991 | 2020-07-27 |
| 1780293696 | Samantha Jo Johnson | Dietitian, Registered | 2854 Greenbrier Rd, Green Bay, WI 54311-6528 | 2020-07-27 |
| 1487272977 | Sara Elizabeth Flitter | Dietitian, Registered | W437 Clement Cir, Campbellsport, WI 53010-1846 | 2020-07-10 |
| 1821616517 | Emily Anne Oschmann | Dietitian, Registered | 630 Woodland Cir, Waterford, WI 53185-2885 | 2020-07-08 |
| 1982221180 | Emilie Williamson | Dietitian, Registered | 1340 S 72nd St, West Allis, WI 53214-3122 | 2020-07-03 |
| 1811512916 | Nicole Lehtinen | Dietitian, Registered | 20200 Poplar Creek Pkwy Unit 116n, Brookfield, WI 53045-2163 | 2020-06-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARIE G 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.