DR. KIRK RANDALL SMITH (NPI# 1518010305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518010305 |
| Entity Type | Individual |
| Full Name | DR. KIRK RANDALL SMITH |
| Credential | DHSC, ARNP |
| Practice Address |
1475 Airport Road Lakeland FL 33811 |
| Practice Telephone | 8634996018 |
| Practice Fax Number | 8636868868 |
| Mailing Telephone | 8634996018 |
| Mailing Fax Number | 8636868868 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2016-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP2640782 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | ARNP2460782 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730199985 | Kirk Ellis Smith | Family Medicine | 200 Medical Center Dr Ste 300, Middletown, OH 45005 | 2006-08-09 |
| 1023008653 | Kirk M. Smith | Emergency Medicine | 4909 Se Mills Ave, Lawton, OK 73501-8705 | 2005-10-25 |
| 1538636584 | Kirk Kelly Smith | Pharmacist | 125 Towne Dr, Bluffton, SC 29910-4203 | 2018-10-29 |
| 1497125215 | Kirk Lane Smith | Internal Medicine | 5460 Paredes Line Rd, Ste 200, Brownsville, TX 78526-9740 | 2015-10-06 |
| 1184042749 | Kirk Smith | Counselor | 3300 Truxtun Ave, Bakersfield, CA 93301 | 2014-04-01 |
| 1376828699 | Kirk Alan Smith | Specialist/Technologist, Other | 1 Sugar Creek Center Blvd Ste 618, Sugar Land, TX 77478 | 2011-10-18 |
| 1578725776 | Kirk M Smith | Surgery | 4400 Bayou Blvd, Suite 23a, Pensacola, FL 32503-2673 | 2008-06-28 |
| 1184816605 | Kirk Shawn Smith | Anesthesiology | 9127 W Russell Rd Ste 110, Las Vegas, NV 89148-1253 | 2007-08-17 |
| 1235239476 | Kirk Wayne Smith | Emergency Medicine | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2006-09-25 |
| 1811994254 | Kirk Macdonald Smith | Nurse Practitioner | 19 Myrtle St, Medford, OR 97504-7337 | 2005-06-30 |
| Street Address |
1475 AIRPORT ROAD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910200 | Darielle Shanette Berrian | Assisted Living Facility | 1548 Georgetown Dr, Lakeland, FL 33811 | 2020-07-23 |
| 1760991012 | Gregory Clark | Driver | 1091 Old South Dr, Lakeland, FL 33811 | 2017-09-28 |
| 1356870703 | Jeanette Michelle Edmonds | Psychologist | 4231 S. Pipkin Rd., Building 2 - Mental Health/behavioral Sciences, Lakeland, FL 33811 | 2017-06-08 |
| 1932353406 | Monique L Lisowski | Dietitian, Registered | 4231 South Pipkin Road, Lakeland, FL 33811 | 2008-11-11 |
| 1306987029 | Lifesavers Home Respiratory, Inc. | Durable Medical Equipment & Medical Supplies | 2525 Drane Field Rd, Suite 14, Lakeland, FL 33811 | 2007-02-08 |
| 1578568176 | Southeastern Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 3615 Century Blvd, Unit #1, Lakeland, FL 33811 | 2005-06-20 |
| 1225279318 | Affordable Transport Inc. | Non-emergency Medical Transport (VAN) | 3706 Dmg Dr, Lakeland, FL 33811-1043 | 2009-03-18 |
| 1457747875 | Candace Borders | Physical Therapy Assistant | 3225 Thoroughbred Loop N, Lakeland, FL 33811-1078 | 2015-04-13 |
| 1962849729 | Angelica Monteverde | Counselor | 3121 Filly Ln, Lakeland, FL 33811-1080 | 2013-06-03 |
| 1821440686 | Claudia White Borders | Counselor | 3058 Sire Trl, Lakeland, FL 33811-1090 | 2016-07-05 |
| Find all providers in zip 33811 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686845 | Robert Salzman | Nurse Practitioner | 1328 Jaffa St, Lakeland, FL 33801-5706 | 2020-07-14 |
| 1578180493 | Kristen Kay Crumpton | Nurse Practitioner | 615 Midflorida Dr Ste 1, Lakeland, FL 33813-4921 | 2020-06-26 |
| 1053958694 | Cathy Lorraine Molina | Nurse Practitioner | 6063 Sunset Vista Dr, Lakeland, FL 33812-4441 | 2019-12-02 |
| 1003452418 | Cheza Marie Wilkinson | Nurse Practitioner | 2849 Jennifer Dr, Lakeland, FL 33810-5107 | 2019-11-20 |
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1154988210 | Doreen Opal Lue | Nurse Practitioner | 6855 Ashbury Dr, Lakeland, FL 33809-7818 | 2019-05-23 |
| 1962068155 | Lindsey Silas Escobar | Nurse Practitioner | 1490 Town Center Dr, Lakeland, FL 33803-7965 | 2019-05-14 |
| 1134695547 | Misti Dawn Thomas | Nurse Practitioner | 1737 Sherwood Lakes Blvd, Lakeland, FL 33809-6809 | 2018-10-23 |
| 1891260725 | Benito Angelo Rodriguez | Nurse Practitioner | 2417 Us Highway 98 N # 512, Lakeland, FL 33805-2410 | 2018-10-08 |
| 1255833513 | Justin Ross Hooper | Nurse Practitioner | 1285 Vista Hills Dr, Lakeland, FL 33813-5642 | 2018-03-02 |
| Find all providers in LAKELAND | ||||
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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.