DR. DEBRA L SMITH (NPI# 1508884032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508884032 |
| Entity Type | Individual |
| Full Name | DR. DEBRA L SMITH |
| Credential | PSYD |
| Practice Address |
112 W Washington St Suite C Marquette MI 49855 |
| Practice Telephone | 9062251776 |
| Practice Fax Number | 9062251781 |
| Mailing Telephone | 9062251776 |
| Mailing Fax Number | 9062251781 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301008288 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 680E210310 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104312370 | Debra Kay Smith | Marriage & Family Therapist | 33726 Chrisco St, Agua Dulce, CA 91390-5051 | 2018-07-10 |
| 1154818540 | Debra Lynne Smith | Registered Nurse | 10601 248th Street Ct E, Graham, WA 98338-6769 | 2018-04-20 |
| 1922488840 | Debra Smith | Occupational Therapy Assistant | 900 Colonial Lake Dr Apt 923, Madison, AL 35758-2283 | 2015-06-05 |
| 1629404942 | Debra Smith | Behavioral Analyst | 36 Gotham Ave, Brooklyn, NY 11229 | 2013-09-18 |
| 1942555677 | Debra Smith | Community Health Worker | 11056 Township Road 101, Findlay, OH 45840-9608 | 2012-07-18 |
| 1538490719 | Debra Kay Smith | Physician Assistant | One Dell Way, Mailstop Rr 8-49 Well At Dell Health Center, Round Rock, TX 78682 | 2010-01-27 |
| 1306085667 | Debra M Smith | Speech-Language Pathologist | 38 W Passage Dr, Portsmouth, RI 02871-1358 | 2009-02-10 |
| 1972714442 | Debra Kay Hines Smith | Physician Assistant | 22629 N 73rd Dr, Glendale, AZ 85310-5662 | 2007-05-25 |
| 1184758302 | Debra Frazier Smith | Registered Nurse | 3968 Rose Ave, Long Beach, CA 90807-3734 | 2007-03-16 |
| 1194885186 | Debra A Smith | Preventive Medicine | 7008 Wooded Meadow Rd, Louisville, KY 40241-6411 | 2006-12-11 |
| Street Address |
112 W WASHINGTON ST SUITE C |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568651917 | Debra L. Smith, Psy.d., Pllc | Community/Behavioral Health | 112 W Washington St, Suite C, Marquette, MI 49855-4348 | 2007-10-22 |
| 1538216452 | Mary M Pelton Cooper | Psychologist | 112 W Washington St, Suite C, Marquette, MI 49855-4348 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767678 | Up Telehealth, LLC | Psychologist | 228 W Washington St Ste 7, Marquette, MI 49855-4330 | 2020-10-12 |
| 1013276013 | Margaret A. Macdevitt Ph.d, PC | Psychologist | 123 E Arch St, Marquette, MI 49855-3801 | 2012-05-10 |
| 1023235405 | Robert Bruce Lamb | Psychologist | 1018 N 3rd St, Marquette, MI 49855-3510 | 2007-04-19 |
| 1679620413 | Jonathan Ramsey Kniskern | Psychologist | 102 W Washington St, Suite 226, Marquette, MI 49855-4368 | 2007-01-04 |
| 1790708881 | Ralph Lloyd Olson Jr. | Psychologist | 220 W Washington St, Suite 420, Marquette, MI 49855-4359 | 2006-07-26 |
| 1689636151 | Margaret A Macdevitt | Psychologist | 123 East Arch Street, Marquette, MI 49855 | 2006-04-03 |
| 1952385247 | Karl Anthony Hill | Psychologist | 107 West Main Street, Marquette, MI 49855-4651 | 2005-12-01 |
| 1245214451 | Gregory Sansom Jones | Psychologist | 1300 W Ridge St Ste 2, Marquette, MI 49855-2142 | 2005-12-01 |
| 1033651534 | Kevin Mcdowell | Psychologist | 580 W College Ave, Marquette, MI 49855-2736 | 2016-11-15 |
| 1528408481 | Karl A Hill Psyd Pllc | Psychologist | 107 W Main St, Marquette, MI 49855-4651 | 2013-06-25 |
| Find all providers in MARQUETTE | ||||
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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.