TAMMY R SMITH (NPI# 1548254097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548254097 |
| Entity Type | Individual |
| Full Name | TAMMY R SMITH |
| Credential | FNP-BC |
| Practice Address |
410 Main Street Gulf Family Practice Sophia WV 25921-1304 |
| Mailing Address |
Po Box 337 Scarbro WV 25917-0337 |
| Practice Telephone | 3046834304 |
| Practice Fax Number | 3046834307 |
| Mailing Telephone | 3044692905 |
| Mailing Fax Number | 3044653180 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2011-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
56022 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810000221 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
| 1225649346 | Tammy Ynette Smith | Technician | 4 Old Lock 13 Rd, Morgantown, WV 26501-9677 | 2020-08-12 |
| 1962975904 | Tammy L Smith | Licensed Practical Nurse | 3236 Landmark Dr Ste 105, North Charleston, SC 29418-8490 | 2019-01-02 |
| 1861994543 | Tammy Mae Smith | Registered Nurse | 707 Doris Ln, Gunter, TX 75058-2550 | 2018-03-08 |
| 1447631908 | Tammy Smith | Nurse Practitioner | 2091 Smoketree Ave N Ste 103, Lake Havasu City, AZ 86403-5896 | 2015-06-10 |
| 1851673768 | Tammy Lee Smith | Student in an Organized Health Care Education/Training Program | 5801 Saint Andrews, Cibolo, TX 78108-2004 | 2011-09-16 |
| 1053613059 | Tammy Lisa Smith | Clinic/Center | 58 Locke Dr, Binghamton, NY 13903-2328 | 2010-11-23 |
| 1972823466 | Tammy Jo Smith | Occupational Therapist | 201 Oberlin Rd, Middletown, PA 17057-3014 | 2010-06-07 |
| 1720178072 | Tammy G Smith | Social Worker | 6720 Heritage Business Ct, Suite 605, Chattanooga, TN 37421-2596 | 2006-10-14 |
| 1679664429 | Tammy D Smith | Massage Therapist | 5021 Nw 34th St Ste C, Gainesville, FL 32605-1191 | 2006-09-27 |
| Street Address |
410 MAIN STREET GULF FAMILY PRACTICE |
| City | SOPHIA |
| State | WV |
| Zip Code | 25921-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152510 | Cortney Louise Lacy | Technician | 234 East Railroad Ave, Sophia, WV 25921 | 2020-10-20 |
| 1952909889 | April Chapman | Technician | 141 Leona Dr, Sophia, WV 25921 | 2020-10-13 |
| 1205445400 | Alesia Marie Basham | Technician | 216 Blue Room Rd, Sophia, WV 25921 | 2020-07-24 |
| 1104435304 | Shannon T. Linville | Technician | 304 W. Railroad Ave., Apt.2, Sophia, WV 25921 | 2020-07-24 |
| 1073077194 | James Kincaid | Pharmacist | 837 Robert C. Byrd Drive, Sophia, WV 25921 | 2019-01-23 |
| 1912472069 | Lester Square Pharmacy | Pharmacy | 837 Robert C Byrd Dr, Sophia, WV 25921 | 2018-10-04 |
| 1609194505 | New River Health Association, Inc. | Pharmacy | 302 W. Main St, Sophia, WV 25921 | 2010-05-17 |
| 1558590166 | A Place To Heal Inc | Physical Therapist | 106 W. Main Street, Sophia, WV 25921 | 2009-07-06 |
| 1023257599 | Jeremiah D Miller | Family Medicine | 302 W. Main St., Sophia, WV 25921 | 2009-02-06 |
| 1154585941 | Mary Jane Tudor | Technician/Technologist | 834 Robert C Byrd Drive Unit B, Sophia, WV 25921 | 2008-07-11 |
| Find all providers in zip 25921 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154457117 | Lori Flis | Nurse Practitioner | 302 W Main Street, Gulf Family Practice II, Sophia, WV 25921 | 2007-02-26 |
| 1922316405 | Katherine A Fulco | Nurse Practitioner | 410 W Main Street, Sophia, WV 25921 | 2010-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517259 | Jeniffer Rachelle Wickline | Nurse Practitioner | 1265 Maplewood Ave, Lewisburg, WV 24901-9478 | 2020-10-27 |
| 1497354047 | Sara L Clayborne | Nurse Practitioner | 130 N Queens Ct, Huntington, WV 25705-3736 | 2020-10-23 |
| 1427656735 | Kisha Lanece James | Nurse Practitioner | 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 | 2020-10-09 |
| 1568069110 | Sarah Michelle Jones | Nurse Practitioner | 198 Morgantown St Unit 2, Bruceton Mills, WV 26525-5003 | 2020-10-07 |
| 1114524287 | Mary E Christian | Nurse Practitioner | 2107 Pike St Ste 3, Parkersburg, WV 26101-6973 | 2020-10-02 |
| 1376140517 | Katheryn Sue Marsh | Nurse Practitioner | 94 W Main St Ste 202, Buckhannon, WV 26201-2376 | 2020-10-01 |
| 1114534567 | Natalie Renee Warner | Nurse Practitioner | 601 Colliers Way Ste 502, Weirton, WV 26062-5014 | 2020-09-29 |
| 1942816137 | Angela Renee Goff | Nurse Practitioner | 119 Main St W Ste A, Oak Hill, WV 25901-2972 | 2020-09-22 |
| 1306452800 | Beverly Christine Young | Nurse Practitioner | 608 New Hope Rd Ste 8, Princeton, WV 24740-2287 | 2020-09-20 |
| 1407462070 | Lindsey King | Nurse Practitioner | 122 Waterside Cir, Winfield, WV 25213-9551 | 2020-09-19 |
| Find all providers with the same taxonomy | ||||
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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.