COURTNEY M. SMITH (NPI# 1477512606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477512606 |
| Entity Type | Individual |
| Full Name | COURTNEY M. SMITH |
| Credential | APRN |
| Practice Address |
4242 Farnam St #490 Omaha NE 68131-2806 |
| Mailing Address |
166 4th St E Saint Paul MN 55101-1421 |
| Practice Telephone | 4025043880 |
| Practice Fax Number | 4025043859 |
| Mailing Telephone | 6512922043 |
| Mailing Fax Number | 6512922204 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2010-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
110716 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025290600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872963 | Courtney Marie Iaquinto Smith | Registered Nurse | 22 Se 11th Ave Apt 103, Portland, OR 97214-1392 | 2020-08-18 |
| 1427674647 | Courtney Smith | Student in an Organized Health Care Education/Training Program | 359 N Garden St, Alpena, MI 49707-3235 | 2020-06-23 |
| 1336768761 | Courtney Skye Smith | Speech-Language Pathologist | 132 Opal Ave, Newport Beach, CA 92662-1031 | 2020-04-15 |
| 1508409889 | Courtney Alexandria Smith | Midwife | 1417 Nw 54th St Ste 264, Seattle, WA 98107-3571 | 2019-10-19 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1649745837 | Courtney Jean Smith | Counselor | 257 Cedar St, Roseville, CA 95678-2539 | 2018-10-04 |
| 1609350123 | Courtney Smith | Behavior Technician | 9340 Gillette St., Lenexa, KS 66215 | 2018-09-20 |
| 1245719178 | Courtney Smith | Acupuncturist | 3140 Commonwealth Ave Ste B, Alexandria, VA 22305-2712 | 2018-08-10 |
| 1699252221 | Courtney Taylor Smith | Pharmacist | 4595 N 635 W, Huntington, IN 46750-8982 | 2018-07-26 |
| 1275028474 | Courtney Rae Smith | Specialist/Technologist | 146 Bill Davis Rd, Franktown, CO 80116-8900 | 2018-06-29 |
| Street Address |
4242 FARNAM ST #490 |
| City | OMAHA |
| State | NE |
| Zip Code | 68131-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265434443 | Scott H Goodman | Psychiatry & Neurology | 4242 Farnam St, Suite 500, Omaha, NE 68131-2806 | 2005-06-01 |
| 1215599311 | Sarah Julia Maria Doss | Psychiatry & Neurology | 4242 Farnam St, Omaha, NE 68131-2806 | 2019-06-28 |
| 1962921551 | Kathryn Len Higgins Sibson | Clinical Neuropsychologist | 4242 Farnam St, Ste 247, Omaha, NE 68131-0003 | 2017-09-14 |
| 1962949917 | Sarah Greteman | Physician Assistant | 4242 Farnam St, Suite 500, Omaha, NE 68131-2806 | 2017-01-30 |
| 1316494164 | Autumn R Nye | Nurse Practitioner | 4242 Farnam St, Ste 650, Omaha, NE 68131-2813 | 2016-09-08 |
| 1154772044 | Adam Grooms | Neurological Surgery | 4242 Farnam St, Omaha, NE 68131-2806 | 2016-06-22 |
| 1346561925 | Melissa Sue Donnelly | Physician Assistant | 4242 Farnam St, #650, Omaha, NE 68131-2806 | 2010-06-17 |
| 1558686378 | Melissa Diamantis Darling | Dermatology | 4242 Farnam St, Suite 360, Omaha, NE 68131-2850 | 2010-04-05 |
| 1942531033 | Heart Surgery PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4242 Farnam St, #355, Omaha, NE 68131-2806 | 2010-01-29 |
| 1427222959 | Chad Allen Whyte | Psychiatry & Neurology | 4242 Farnam St, Suite 500, Omaha, NE 68131-2806 | 2008-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626086 | Spring Forward Ot, LLC | Occupational Therapist | 429 N. 38th Ave, Omaha, NE 68131 | 2020-03-31 |
| 1568944528 | Amy Vodicka | Case Manager/Care Coordinator | 3612 Cuming St., Omaha, NE 68131 | 2018-09-05 |
| 1982121919 | Lakeisha Marie Phelps | Peer Specialist | 3568 Dodge St, Omaha, NE 68131 | 2017-08-30 |
| 1063939098 | William L. Rolfe | Community Health Worker | 3568 Dodge Street, Suite 2, Omaha, NE 68131 | 2017-08-30 |
| 1578086294 | Nebraska Family Support Network | Community/Behavioral Health | 3568 Dodge St Ste 2, Omaha, NE 68131 | 2017-07-25 |
| 1124558937 | Beverly Hamilton | Case Manager/Care Coordinator | 3612 Cuming, Omaha, NE 68131 | 2017-06-14 |
| 1396291068 | Elizabeth George | Internal Medicine | 601 N. 30th St. Cu Department of Internal Medicine, Omaha, NE 68131 | 2016-08-31 |
| 1639625999 | Samuel Ramon Brown | Surgery | 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 | 2016-08-28 |
| 1205289238 | Srilakshmi Reddy | Surgery | 601 N 30th St -cu Department of General Surgery, Omaha, NE 68131 | 2016-07-14 |
| 1881069409 | Jordan Sieh | Behavioral Analyst | 444 S. 44th St, Omaha, NE 68131 | 2015-12-08 |
| Find all providers in zip 68131 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982006805 | Chelsea Barton | Nurse Practitioner | 18821 Washington St, Omaha, NE 68135-3178 | 2014-09-23 |
| 1063811511 | Tamara Lyn Braley | Nurse Practitioner | 4968 S 188th Ave, Omaha, NE 68135-3520 | 2014-08-21 |
| 1760703037 | Renae G Wortz | Nurse Practitioner | 444 Regency Parkway Dr Ste 104, Omaha, NE 68114-3779 | 2010-06-21 |
| 1891023529 | Tamara L Fischer | Nurse Practitioner | 14460 W Maple Rd, Omaha, NE 68116-5163 | 2009-11-18 |
| 1154456945 | Christine Dimasi Tran | Nurse Practitioner | 988106 Nebraska Medical Ctr, Omaha, NE 68198-8106 | 2007-02-22 |
| 1053329425 | Christine A Karnish | Nurse Practitioner | 810 N 96th St, Suite 201, Omaha, NE 68114-2767 | 2006-08-03 |
| 1285621888 | Kimberly Sue Craig | Nurse Practitioner | 825 N 90th St, Omaha, NE 68114-2702 | 2005-09-29 |
| 1730794595 | Rhonda Kay Clements | Nurse Practitioner | 208 S 26th Ave, Omaha, NE 68131-3622 | 2020-09-09 |
| 1013572486 | Dawnette Lynn Bredberg | Nurse Practitioner | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-05-01 |
| 1750861621 | Joseph David Patach | Nurse Practitioner | 7253 Grover St, Omaha, NE 68124-3580 | 2018-08-20 |
| Find all providers in OMAHA | ||||
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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.