MARLA RAE SMITH (NPI# 1548444011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548444011 |
| Entity Type | Individual |
| Full Name | MARLA RAE SMITH |
| Practice Address |
869 North Illinois Rt 3 Waterloo IL 62298 |
| Mailing Address |
519 Covington Drive Waterloo IL 62298-3296 |
| Practice Telephone | 6189397771 |
| Practice Fax Number | 6189397746 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2009-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
209007742 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
152008 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700202124 | Marla Smith | Massage Therapist | 11016 Indian Legends Dr, Apt 203, Louisville, KY 40241-5434 | 2014-03-10 |
| 1437217197 | Marla L Smith | Physician Assistant | 2620 North Mt. Juliet Road, Mt. Juliet, TN 37122 | 2006-12-05 |
| 1942381553 | Marla Renee Smith | Specialist/Technologist | 550 E 2nd St, Waynesboro, PA 17268-2352 | 2006-10-18 |
| 1467414656 | Marla Jane Smith | Registered Nurse | 5002 Twin Oaks Dr, Madison, WI 53714-2734 | 2006-04-04 |
| 1528049277 | Marla J Smith | Counselor | 2600 Marble Ne Bldg 2, Albuquerque, NM 87131-0001 | 2005-11-09 |
| 1992260251 | Marla Smith | Physical Therapist | 23553 W Fernhurst Dr, Katy, TX 77494-0686 | 2019-01-31 |
| 1013193366 | Marla Renee Smith | Nurse Practitioner | 16504 County Road 150, Courtland, AL 35618 | 2008-01-17 |
| 1720292964 | Marla L Smith | Psychologist | 3077 E 98th St, Suite 165, Indianapolis, IN 46280-2940 | 2007-05-09 |
| 1730308404 | Marla Renell Smith | Physical Therapy Assistant | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2007-04-24 |
| 1821158270 | Marla E Smith | Physical Therapist | 114 New St, Suite I - 2, Decatur, GA 30030-4132 | 2006-12-08 |
| Street Address |
869 NORTH ILLINOIS RT 3 |
| City | WATERLOO |
| State | IL |
| Zip Code | 62298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1235624867 | Las Davis Enterprises | Hearing Instrument Specialist | 911 State Rte 3, Waterloo, IL 62298 | 2018-06-26 |
| 1255727269 | Anna Witges | Counselor | 988 Il-3, Waterloo, IL 62298 | 2015-04-07 |
| 1558766741 | Sheri Buettner | Counselor | 988 Illinois Route 3, Waterloo, IL 62298 | 2014-10-30 |
| 1386050953 | Jessica Liefer | Counselor | 988 N Illinois Rt 3, Waterloo, IL 62298 | 2014-07-03 |
| 1952729279 | Orthodontic Associates of Columbia and Waterloo | Dentist | 224 Bradford Lane Suite B, Waterloo, IL 62298 | 2014-04-03 |
| 1588963961 | Monroe County Surgical Center,llc | Clinic/Center | 501 Hamacher St, Waterloo, IL 62298 | 2011-03-24 |
| 1841523776 | Waterloo Women's Health | Nurse Practitioner | 869 N. Illinois Rt 3, Waterloo, IL 62298 | 2009-09-10 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
| 1558571034 | Kohlmeier Chiropractic Therapy | Chiropractor | 1329 North Route 3, Waterloo, IL 62298 | 2007-05-23 |
| Find all providers in zip 62298 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841523776 | Waterloo Women's Health | Nurse Practitioner | 869 N. Illinois Rt 3, Waterloo, IL 62298 | 2009-09-10 |
| 1255752630 | Lindsey Northness | Nurse Practitioner | 3421 W 9th St, Waterloo, IA 50702 | 2014-01-02 |
| 1437386018 | Sharon Smalldridge Mcgill | Nurse Practitioner | 233 Vold Dr, Waterloo, IA 50703-1256 | 2009-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455306 | Megan Bishoff | Nurse Practitioner | 880 W Central Rd Ste 6200, Arlington Heights, IL 60005-2378 | 2020-10-21 |
| 1881292019 | Dana Beth Yednock | Nurse Practitioner | 1444 E Broadway St, Streator, IL 61364-2535 | 2020-10-10 |
| 1154959864 | Jennifer Marie Nieves | Nurse Practitioner | 34 E Oak St Ste 6, Chicago, IL 60611-1231 | 2020-03-29 |
| 1093340275 | Nicole Price | Nurse Practitioner | 3717 N Ravenswood Ave Ste 213, Chicago, IL 60613-4098 | 2020-03-07 |
| 1497318372 | Rachael Elizabeth Thomas | Nurse Practitioner | 333 S Desplaines St Ste 201, Chicago, IL 60661-5514 | 2019-04-17 |
| 1700358025 | Cassandra Marie Johnson | Nurse Practitioner | 636 Hampshire St Ste 201, Quincy, IL 62301-3054 | 2018-12-27 |
| 1063990588 | Lisa Hammons | Nurse Practitioner | 14470 S La Grange Rd, Orland Park, IL 60462-2630 | 2018-08-06 |
| 1750874459 | Valerie Wezran | Nurse Practitioner | 3 Ontario St Apt 1, Oak Park, IL 60302-2573 | 2018-06-08 |
| 1033626262 | Heather Ann San Juan | Nurse Practitioner | 613 S Poplar Ave, Elmhurst, IL 60126-4061 | 2018-01-09 |
| 1124530340 | Kristy Wienstroer | Nurse Practitioner | 1191 Fortune Blvd, Shiloh, IL 62269-7377 | 2017-10-27 |
| 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.