MARLA RAE SMITH


Address: 869 North Illinois Rt 3, Waterloo, IL 62298
Phone: 6189397771

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).

Provider Overview

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

Taxonomy

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

Other Providers MARLA SMITH

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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

Office Location

Street Address 869 NORTH ILLINOIS RT 3
City WATERLOO
State IL
Zip Code 62298

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City WATERLOO
Zip Code 62298

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Dataset Information

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.

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