SUSAN SMITH (NPI# 1588115067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588115067 |
| Entity Type | Individual |
| Full Name | SUSAN SMITH |
| Practice Address |
8491 N. Lake Blvd. Kings Beach CA 96143 |
| Mailing Address |
Po Box 2099 Kings Beach CA 96143-2099 |
| Practice Telephone | 5305465641 |
| Mailing Telephone | 5305465641 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407347297 | Susan Banuelos Smith | Dietitian, Registered | 3801 W 15th St Ste 214, Plano, TX 75075 | 2018-05-29 |
| 1447751870 | Susan Allen Smith | Registered Nurse | 1210 Terrace Dr, Mesquite, TX 75150-4284 | 2018-02-21 |
| 1326585407 | Susan A Smith | Nutritionist | 1114 Hidden Spring Dr, Naperville, IL 60540-4112 | 2017-01-26 |
| 1508316712 | Susan Taylor Smith | Speech-Language Pathologist | 120 Brundage Ter, Hot Springs, AR 71913-9348 | 2016-10-12 |
| 1326595075 | Susan Smith | Physical Therapist | 1115 E Hampton Dr, Pearland, TX 77584-7620 | 2016-09-09 |
| 1740656115 | Susan Smith | Counselor | 108089 S 4670 Rd, Sallisaw, OK 74955-8587 | 2015-08-19 |
| 1902282734 | Susan Smith | Physical Therapist | 4 Carville Ave, Lexington, MA 02421-6212 | 2015-08-04 |
| 1790173110 | Susan Smith | Speech-Language Pathologist | 301 Haig Dr, Wilmington, NC 28412-7134 | 2015-01-07 |
| 1598180218 | Susan Smith I | Counselor | 2819 Teasdale Dr, Troy, MI 48083-2657 | 2014-03-04 |
| 1346683414 | Susan Smith | Specialist | 4718 Foster Ave, Brooklyn, NY 11203-5822 | 2013-04-09 |
| Street Address |
8491 N. LAKE BLVD. |
| City | KINGS BEACH |
| State | CA |
| Zip Code | 96143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483761 | Pamela Mccarthy Murphy | Acupuncturist | 8762 North Lake Blvd, Kings Beach, CA 96143 | 2020-03-26 |
| 1306324512 | Western Sierra Medical Clinic, Inc. | Clinic/Center | 8665 Salmon Avenue, Kings Beach, CA 96143 | 2018-07-31 |
| 1053859033 | Barbara Ricotta | Acupuncturist | 8611 N. Lake Bl., Kings Beach, CA 96143 | 2017-02-09 |
| 1649670837 | Karen Kucharski | Dentist | 8079 N. Lake Blvd, 202, Kings Beach, CA 96143 | 2014-08-26 |
| 1063825917 | Sherry Thompson | Pharmacist | 8245 North Lake Blvd, Kings Beach, CA 96143 | 2014-06-09 |
| 1912277864 | Granite Wellness Centers | Community/Behavioral Health | 8491 North Lake Blvd., Kings Beach, CA 96143 | 2012-01-10 |
| 1588946859 | Richard Vanhalen Collins II | Pharmacist | 8245 North Lake Blv, Kings Beach, CA 96143 | 2011-09-13 |
| 1902107394 | William David Wickland | Dentist | 8233 Rainbow Avenue, Kings Beach, CA 96143 | 2010-11-16 |
| 1609177872 | Raymond Richard Wasson | Pharmacist | 7815 North Lake Blvd., Kings Beach, CA 96143 | 2010-11-04 |
| 1700057239 | Keri Lynn Gonsalves | Registered Nurse | 8645 North Lake Blvd., #c, Kings Beach, CA 96143 | 2008-03-12 |
| Find all providers in zip 96143 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568653905 | John Joseph Pangallo | Counselor | 8491 North Lake Blvd, Kings Beach, CA 96143 | 2007-08-08 |
| 1215008818 | Joanne Teresa Snyder | Counselor | 8130 No. Lake Blvd., Kings Beach, CA 96143 | 2006-11-13 |
| 1538585567 | Michael Mcnulty | Counselor | 8491 North Lake Blvd, Kings Beach, CA 96143-0000 | 2014-03-14 |
| 1528208725 | Richard James Brown | Counselor | 8491 North Lake Blvd, Kings Beach, CA 96143 | 2009-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1538760871 | Ky Washington | Counselor | 1625 Sweetwater Rd # C1, National City, CA 91950-7647 | 2020-11-03 |
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1548869266 | Yama Totakhail | Counselor | 915 Bryant St # 94103, San Francisco, CA 94103-4514 | 2020-10-23 |
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1285233155 | Alaric Fairchild | Counselor | 1400 N Johnson Ave Ste 1011400n, El Cajon, CA 92020-1650 | 2020-10-21 |
| 1487253571 | Roxanne Rene Coito | Counselor | 1919 Apple St # D, Oceanside, CA 92054-4425 | 2020-10-20 |
| 1255939732 | Diana Palencia | Counselor | 44459 10th St W, Lancaster, CA 93534-3324 | 2020-10-15 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
| City | KINGS BEACH |
| Zip Code | 96143 |
Please comment or provide details below to improve the information on SUSAN SMITH.
| 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.