NICOLE RAE SMITH (NPI# 1518284439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518284439 |
| Entity Type | Individual |
| Full Name | NICOLE RAE SMITH |
| Credential | M.D. |
| Practice Address |
2600 65th Ave Osceola WI 54020-4370 |
| Mailing Address |
Po Box 218 Osceola WI 54020-0218 |
| Practice Telephone | 7152942111 |
| Practice Fax Number | 7152945758 |
| Mailing Telephone | 7152942111 |
| Mailing Fax Number | 7152945758 |
| Enumeration Date | 2010-05-02 |
| Last Update Date | 2014-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 61379 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712288 | Nicole Christina Smith | Advanced Practice Midwife | 8821 Foxgate Ct, Huber Heights, OH 45424-1103 | 2020-08-26 |
| 1396357356 | Nicole Lynn Smith | Behavior Technician | 1221 Maiden Choice Ln, Baltimore, MD 21229-5414 | 2020-08-20 |
| 1790393064 | Nicole L Smith | Nurse Practitioner | 505 Bingham Dr, Mcdonough, GA 30253-8050 | 2020-07-22 |
| 1144847807 | Nicole Francine Smith | Speech-Language Pathologist | 1643 Victoria Pointe Cir, Weston, FL 33327-1311 | 2020-06-29 |
| 1558981803 | Nicole Nadine Smith | Nurse Practitioner | 508 Wicklow Ct, Forest Hill, MD 21050-1644 | 2020-04-16 |
| 1568016921 | Nicole Renee Smith | Dentist | 8005 W 110th St Ste 220, Overland Park, KS 66210-2619 | 2019-07-24 |
| 1700448677 | Nicole E Smith | Registered Nurse | 4000 Bienville St Ste G, New Orleans, LA 70119-5163 | 2019-07-01 |
| 1720550809 | Nicole Sharron Smith | Nurse Practitioner | 3724 N 3rd St # 201, Phoenix, AZ 85012-2034 | 2018-12-29 |
| 1083184337 | Nicole Marie Smith | Psychologist | 124 Saddle Loop Unit B, Bigfork, MT 59911-3663 | 2018-11-29 |
| 1952880635 | Nicole Sharay Smith | In Home Supportive Care | 2150 Lincoln Ave, Cincinnati, OH 45224-1828 | 2018-08-13 |
| Street Address |
2600 65TH AVE |
| City | OSCEOLA |
| State | WI |
| Zip Code | 54020-4370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124071865 | Kamil N. Sayegh | Internal Medicine | 2600 65th Ave, Osceola, WI 54020 | 2006-05-17 |
| 1609437607 | Robert Seiberlich | Physical Therapist | 2600 65th Ave, Osceola, WI 54020-4370 | 2019-06-21 |
| 1891259743 | William James Ryan | Physician Assistant | 2600 65th Ave, Osceola, WI 54020-4370 | 2019-01-24 |
| 1376029017 | Justin Himes | Pharmacist | 2600 65th Ave, Osceola, WI 54020-4370 | 2018-07-16 |
| 1336634377 | Mary Elizabeth Gustafson | Pharmacist | 2600 65th Ave, Osceola, WI 54020-4370 | 2018-06-22 |
| 1801394549 | Ladd Memorial Hospital | Clinic/Center | 2600 65th Ave, Osceola, WI 54020-4370 | 2018-01-29 |
| 1811429566 | Heather Kaye Ross | Occupational Therapy Assistant | 2600 65th Ave, Osceola, WI 54020-4370 | 2017-03-31 |
| 1477905362 | Rochelle Manik Catherine Samarasekera | Family Medicine | 2600 65th Ave, Osceola, WI 54020-4370 | 2016-07-05 |
| 1578917316 | Tony Huy Tien Nguyen | Family Medicine | 2600 65th Ave, Osceola, WI 54020-4370 | 2016-04-18 |
| 1295196848 | Nathan Delovely | Specialist/Technologist | 2600 65th Ave, Osceola, WI 54020-4370 | 2016-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063907 | Osceola Family Dental, Ltd | Clinic/Center | 215 N Cascade St, Osceola, WI 54020 | 2020-11-03 |
| 1780177840 | Joseph John Clymer | Social Worker | 405 Delmar Ave, Osceola, WI 54020 | 2018-06-12 |
| 1811401763 | Tiffany Morris | Acupuncturist | 207 N Cascade St, Osceola, WI 54020 | 2017-11-29 |
| 1255842779 | Olson Cc Wellness LLC | Chiropractor | 307 N Cascade Street, Osceola, WI 54020 | 2017-10-24 |
| 1396266599 | Danelle Mortenson | Counselor | 204 3rd Ave., Suite 100, Osceola, WI 54020 | 2017-06-28 |
| 1306200076 | Wendy Field | Registered Nurse | 2789 Cloutier Ct, Osceola, WI 54020 | 2016-04-08 |
| 1023391877 | Christian Community Home of Osceola, Inc. | Skilled Nursing Facility | 2650 65th Ave, Osceola, WI 54020 | 2011-09-27 |
| 1073768602 | Jamie J Mason | Marriage & Family Therapist | 204 3rd Ave W, Suite 100, Osceola, WI 54020 | 2008-11-24 |
| 1710137963 | Michelle Lynn Thoen | Counselor | 307 N Cascade St, Third Floor, Osceola, WI 54020 | 2008-09-24 |
| 1457533903 | School District of Osceola | Local Education Agency (LEA) | 331 Middle School Dr, Osceola, WI 54020 | 2007-11-27 |
| Find all providers in zip 54020 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982230421 | Cynthia Joyce Robinson | Family Medicine | 104 E Greenbriar Dr, Osceola, AR 72370-2820 | 2020-03-17 |
| 1932469780 | John Kendrick Graham | Family Medicine | 58267 Beech Rd, Osceola, IN 46561-9225 | 2012-05-25 |
| 1134414329 | Aixsa Perez M D P C | Family Medicine | 1712 Lincolnway W, Suite A, Osceola, IN 46561-1933 | 2011-06-15 |
| 1265735682 | David Jameson | Family Medicine | 531 Beebe St # 546, Osceola, NE 68651 | 2010-12-07 |
| 1487973673 | Yulanda Belle Harrison | Family Medicine | 616 W. Keiser, Osceola, AR 72370-3504 | 2010-05-27 |
| 1336308949 | Thomas J Lower Do PC | Family Medicine | 127 W Washington St, Osceola, IA 50213-1248 | 2008-06-09 |
| 1003004136 | James David Kimball | Family Medicine | 1015 Lakeshore Dr, Osceola, IA 50213-1604 | 2007-10-15 |
| 1114115045 | Stephen Kennedy Do LLC | Family Medicine | 1415 Lincoln Way W, Suite O, Osceola, IN 46561-2062 | 2007-10-04 |
| 1043417637 | Southern Iowa General Medicine LLC | Family Medicine | 105 E Mclane St, Suite 400, Osceola, IA 50213-1456 | 2007-06-28 |
| 1922120195 | Mississippi County Primary Care | Family Medicine | 602 W Union Ave Ste B, Osceola, AR 72370-3014 | 2007-04-06 |
| Find all providers in OSCEOLA | ||||
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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.