CHERYL FUNSCH SMITH (NPI# 1497176093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497176093 |
| Entity Type | Individual |
| Full Name | CHERYL FUNSCH SMITH |
| Credential | PH.D. |
| Practice Address |
2031 N Green Acres Rd Ste A Fayetteville AR 72703-2619 |
| Mailing Address |
169 Princess Cir Franklin TN 37064-1422 |
| Practice Telephone | 6156185166 |
| Mailing Telephone | 6156185166 |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2020-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PS008859L | PA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20-07P | AR | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
3206 | TN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 109 Holiday Ct, Suite A2, Franklin, TN 370673000 | 6156185166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174058119 | Cheryl Smith | Counselor | 636 Ne 35th Loop, Ocala, FL 34479-2356 | 2017-04-27 |
| 1578953154 | Cheryl Smith | Counselor | 13 Mark Rd, Franklin, NH 03235-1429 | 2015-02-03 |
| 1437553807 | Cheryl Smith | Registered Nurse | 330 West Oak, Amite, LA 70422 | 2014-10-14 |
| 1295070720 | Cheryl Leslie Smith | Registered Nurse | 2395 Black Diamond Rd, Port Angeles, WA 98363-9442 | 2012-12-10 |
| 1013290089 | Cheryl Smith | Registered Nurse | 01 Home Office, Towson, MD 21286 | 2011-09-26 |
| 1730470873 | Cheryl Smith | Pharmacist | 82 Vt Route 15 W, Rite Aid Pharmacy, Hardwick, VT 05843 | 2011-04-24 |
| 1780839530 | Cheryl A Smith | Social Worker | 216 N Main St Ste C, Trenton, FL 32693-3427 | 2008-11-20 |
| 1205093093 | Cheryl L Smith | Dietitian, Registered | 1461 E Omaha St, Apt. B2, Broken Arrow, OK 74012-0316 | 2008-05-19 |
| 1124234539 | Cheryl Smith | Dentist | 6800 Heritage Pkwy, Ste 202, Rockwall, TX 75087-8746 | 2007-05-15 |
| 1194863324 | Cheryl E Smith | Pathology | 15 East High Street, Suite F, Glassboro, NJ 08028-2595 | 2007-02-01 |
| Street Address |
2031 N GREEN ACRES RD STE A |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154969657 | Kathleen Ratcliff Andrews | Psychologist | 2300 Ramsey St # B51t, Fayetteville, NC 28301-3856 | 2019-12-16 |
| 1740757731 | Dia Boutwell | Psychologist | 125 Howard Ln Ste B, Fayetteville, GA 30215-1853 | 2018-10-27 |
| 1265950034 | Elizabeth Chaisson | Psychologist | 1 W Mountain St Ste 307, Fayetteville, AR 72701-6068 | 2017-08-31 |
| 1922470020 | Savanna Cloer Mccain Phd, Pa | Psychologist | 4257 N Gabel Dr # 2b, Fayetteville, AR 72703-5004 | 2015-10-28 |
| 1538578992 | Nicole Dreiling | Psychologist | 351 Wagoner Dr Ste 130, Fayetteville, NC 28303-4669 | 2014-08-10 |
| 1255627717 | Colleen Quinn | Psychologist | 200 Mason St, 2nd Floor, Fayetteville, NC 28301-5041 | 2011-06-23 |
| 1518278373 | Ingrid Jacobs | Psychologist | 1 E Center St Ste 333, Fayetteville, AR 72701-5349 | 2010-06-27 |
| 1427372119 | Sandra V Heinsz | Psychologist | 290 Ashborough Park, Fayetteville, GA 30215-6514 | 2010-03-24 |
| 1134361546 | Elizabeth E Knowles, Ph.d., Pa | Psychologist | 4241 N Gabel Dr, Fayetteville, AR 72703-5004 | 2009-03-31 |
| 1982846671 | Louis P. Anderson | Psychologist | 120 Michael Ct, Fayetteville, GA 30215-1846 | 2009-03-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on CHERYL FUNSCH 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.