BRENDA G SMITH (NPI# 1487168142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487168142 |
| Entity Type | Individual |
| Full Name | BRENDA G SMITH |
| Credential | LMT |
| Practice Address |
1545 E Iron Eagle Dr Ste 103 Eagle ID 83616-7079 |
| Mailing Address |
10633 N Sagecrest Pl Boise ID 83714-9562 |
| Practice Telephone | 2086494405 |
| Mailing Telephone | 4044411146 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MASG-2220 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207043 | Brenda Ann Smith | Nurse Practitioner | 10189 Chestnut Oak Dr, Independence, KY 41051-8805 | 2020-05-21 |
| 1538570999 | Brenda Smith | Student in an Organized Health Care Education/Training Program | 4404 Epperly Dr, Del City, OK 73115-3730 | 2014-05-19 |
| 1447678081 | Brenda Smith | Nurse Practitioner | 16365 Cottage Grove Ave, South Holland, IL 60473-2366 | 2014-04-01 |
| 1467873901 | Brenda Smith | Occupational Therapy Assistant | 2290 Crow Creek Rd, Bettendorf, IA 52722-2096 | 2013-12-31 |
| 1164843330 | Brenda Ariel Smith | Counselor | 3600 S Beeler St Ste 340, Denver, CO 80237-1801 | 2013-12-13 |
| 1730425307 | Brenda Gayle Smith | Clinical Nurse Specialist | 20 Hawkins St Apt G, Dahlonega, GA 30533-1154 | 2012-12-29 |
| 1336491414 | Brenda R Smith | Counselor | 17596 Davis Rd, Georgetown, DE 19947-4427 | 2012-10-12 |
| 1770809931 | Brenda Leigh Smith | Registered Nurse | 7145 W Yucca St, Peoria, AZ 85345-5844 | 2010-04-13 |
| 1841527686 | Brenda G Smith | Nurse Practitioner | 1124 N. Broadway, Knoxville, TN 37917 | 2009-11-16 |
| 1427228329 | Brenda Carol Smith | Specialist | 1800 Fair Oaks Ave # C, South Pasadena, CA 91030-4776 | 2008-03-06 |
| Street Address |
1545 E IRON EAGLE DR STE 103 |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-7079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740833573 | Lynda L Hopkins | Massage Therapist | 539 S Fitness Pl Ste 150, Eagle, ID 83616-7035 | 2019-07-21 |
| 1174028328 | Danika Kristan Lewis | Massage Therapist | 2305 N Eagle Creek Ln, Eagle, ID 83616-6819 | 2018-03-29 |
| 1962903005 | Lisa K Johnson | Massage Therapist | 717a Sylvan Lake Road, Eagle, CO 81631 | 2018-02-23 |
| 1700328945 | Body Balance Bliss | Massage Therapist | 200 Capitol St., Eagle, CO 81631 | 2016-11-04 |
| 1881070662 | Valerie Dewolfe | Massage Therapist | 150 E Riverside Dr Ste 100, Eagle, ID 83616-6088 | 2015-08-04 |
| 1871977967 | Anthony Arthur Wilburn | Massage Therapist | 150 E Riverside Dr, Suite 100, Eagle, ID 83616-6087 | 2015-07-17 |
| 1720698210 | Janet Lee Groeger | Massage Therapist | 1151 E Iron Eagle Dr, Eagle, ID 83616-6854 | 2020-08-09 |
| 1356987390 | Matthew Demers | Massage Therapist | 1045 S Ancona Ave Ste 140, Eagle, ID 83616-6374 | 2019-11-25 |
| 1972055499 | Kathryn Cueva | Massage Therapist | 200 Capitol St, Eagle, CO 81631 | 2016-11-01 |
| 1023494010 | Hailey Jellison | Massage Therapist | 150 E Riverside Dr, Suite 100, Eagle, ID 83616 | 2015-08-03 |
| Find all providers in EAGLE | ||||
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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.