DR. KIMBERLY IVY SMITH (NPI# 1588720973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588720973 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY IVY SMITH |
| Credential | M.D. |
| Practice Address |
178 Lasalle Lefall Dr Quincy FL 32351-5278 |
| Practice Telephone | 8508753600 |
| Practice Fax Number | 8506277277 |
| Mailing Telephone | 8508753600 |
| Mailing Fax Number | 8506277277 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2015-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME124522 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201205340 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496443 | Kimberly A Smith | Counselor | 2764 Teakwood Ln, Plano, TX 75075-9100 | 2020-10-30 |
| 1437703212 | Kimberly L Smith | Massage Therapist | 2707 Silesia Ln Apt C, Bellingham, WA 98226-3664 | 2019-07-30 |
| 1831651298 | Kimberly A Smith | Hearing Instrument Specialist | 954 E Main St, Chillicothe, OH 45601-2844 | 2019-04-04 |
| 1467916437 | Kimberly Alicia Smith | Family Medicine | 4000 Mitchellville Rd Ste A308, Bowie, MD 20716-3135 | 2019-01-24 |
| 1891296901 | Kimberly Diane Smith | Acupuncturist | 11110 Ohio Ave Ste 105, Los Angeles, CA 90025-6345 | 2018-02-23 |
| 1184140881 | Kimberly Denise Smith | Peer Specialist | 720 14th Ave Fl 2, Longview, WA 98632-2315 | 2017-08-15 |
| 1285164897 | Kimberly Smith | Contractor | 2607 Lakebriar St, San Antonio, TX 78222 | 2017-06-15 |
| 1912458092 | Kimberly Grace Smith | Speech-Language Pathologist | 220 Lincoln Pl, Apt 2f, Brooklyn, NY 11217-3761 | 2016-10-24 |
| 1922553171 | Kimberly Smith | Licensed Practical Nurse | 4432 Drexel St, Detroit, MI 48215-3346 | 2016-08-17 |
| 1144673476 | Kimberly B. Smith | Speech-Language Pathologist | 39341 Jason St, Prairieville, LA 70769-4614 | 2016-07-21 |
| Street Address |
178 LASALLE LEFALL DR |
| City | QUINCY |
| State | FL |
| Zip Code | 32351-5278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962467399 | Kay V Finlaw | Family Medicine | 178 Lasalle Lefall Dr, Quincy, FL 32351-5278 | 2006-04-19 |
| 1487030987 | Kristi Taylor | Nurse Practitioner | 178 Lasalle Lefall Dr, Quincy, FL 32351-5278 | 2015-08-06 |
| 1073956108 | Stefanie Fiona Kreamer | Family Medicine | 178 Lasalle Lefall Dr, Quincy, FL 32351-5278 | 2013-04-08 |
| 1942595731 | Elizabeth L Dickens | Family Medicine | 178 Lasalle Lefall Dr, Quincy, FL 32351-5278 | 2011-06-09 |
| 1093730913 | Alicia E Fernandez-garcia | Pediatrics | 178 Lasalle Lefall Dr, Quincy, FL 32351-5278 | 2006-07-13 |
| 1811953128 | Tallahassee Memorial Healthcare Inc. | Pediatrics | 178 Lasalle Lefall Dr, Quincy, FL 32351-5278 | 2006-04-25 |
| 1982660791 | George R Whiddon | Family Medicine | 178 Lasalle Lefall Dr, Quincy, FL 32351-5278 | 2006-04-21 |
| 1427014133 | Dianne Pappachristou | Family Medicine | 178 Lasalle Lefall Dr, Quincy, FL 32351-5278 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922567627 | Porschia Moteka Johnson | Home Health | 1804 Mlk Jr Blvd, Quincy, FL 32351 | 2019-03-13 |
| 1841776556 | Caticia Shorter | Contractor | 315 Ray Road, Quincy, FL 32351 | 2018-07-16 |
| 1184170714 | Darlene Rollins Cunningham | Contractor | 716 Martin Luther King Jr. Blvd., Quincy, FL 32351 | 2016-09-01 |
| 1598186439 | Lydia Drayton | Technician, Pathology | 144 Gene Williams Rd, Quincy, FL 32351 | 2013-12-19 |
| 1609164987 | William Holzman | Dentist | 236 East Jefferson, Quincy, FL 32351 | 2011-07-20 |
| 1225338866 | Natalie S Franz | Registered Nurse | 278 Lasalle Lefall Dr., Qunicy, FL 32351 | 2010-10-29 |
| 1598915258 | Roiquista Ewana Harrison-albritton | Licensed Practical Nurse | 278 Dr. Lasalle Lefall, Quincy, FL 32351 | 2008-09-30 |
| 1265601835 | Crystal C Cutchins | Speech-Language Pathologist | 304 E. Jefferson St, Quincy, FL 32351 | 2008-02-27 |
| 1871761890 | Susan Nicholson Lajoie | Nurse Practitioner | 278 Dr. Lasalle Leffall Dr., Quincy, FL 32351 | 2008-02-12 |
| 1033399951 | Jill Mcelligott Welch | Midwife | 152 Winding Creek Rd, Quincy, FL 32351 | 2007-11-08 |
| Find all providers in zip 32351 | ||||
| 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 |
|---|---|---|---|---|
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1699189332 | Amy North | Family Medicine | 927 Broadway St Ste 120, Quincy, IL 62301-2728 | 2014-06-19 |
| 1093064370 | Kelly Lynne Piontek | Family Medicine | 2 Adams Pl Ste 305, Quincy, MA 02169-7456 | 2012-09-02 |
| 1558538496 | Jeffrey Lewis Wheeler | Family Medicine | Rr 1 Box 92, Quincy, MO 65735-9712 | 2008-05-09 |
| 1730389107 | Maria Vazquez-scott | Family Medicine | 512 N 11th St, Suite B, Quincy, IL 62301 | 2007-07-23 |
| 1255448650 | Wallace Allyn Newkirk | Family Medicine | 908 Tenth Ave Sw, Quincy, WA 98848 | 2006-08-23 |
| 1922114750 | Alan Richardson | Family Medicine | 331 S 36th Street Suite 6, Knapheide Family Wellness Cen, Quincy, IL 62301 | 2006-08-22 |
| 1831109347 | Matthew Philip Cormier | Family Medicine | 326 N 24th St, Quincy, IL 62301-3140 | 2006-08-08 |
| 1619985702 | Zakiah S. Ali | Family Medicine | 636 Hampshire St, Suite 201, Quincy, IL 62301-3054 | 2006-08-04 |
| 1740298942 | Steven R. Ginos | Family Medicine | 4800 Maine St, Quincy, IL 62305-5875 | 2006-08-03 |
| Find all providers in QUINCY | ||||
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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.