LARRY EDWIN SMITH (NPI# 1659979268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659979268 |
| Entity Type | Individual |
| Full Name | LARRY EDWIN SMITH |
| Credential | FNP |
| Practice Address |
768 N Us Highway 41 Rockville IN 47872-7091 |
| Mailing Address |
3155 W 57th St Indianapolis IN 46228-1609 |
| Practice Telephone | 8123600047 |
| Mailing Telephone | 8123600047 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71010467A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689159196 | Larry Dale Smith | Counselor | 205 Lelia Ln, Dobson, NC 27017-8767 | 2018-10-01 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1033572946 | Larry Smith | Specialist | 5234 Jarman St, Abilene, TX 79601-7002 | 2016-03-30 |
| 1841655909 | Larry Leroy Smith | Counselor | 490 N 500 E, American Fork, UT 84003-1872 | 2015-12-16 |
| 1174995138 | Larry Smith Jr. | Counselor | 6015 Hearne Avenue, Shreveport, LA 71108 | 2015-10-29 |
| 1275905051 | Larry Joseph Smith Jr. | Counselor | 827 Old Spanish Trl, Bay St Louis, MS 39520-2204 | 2015-10-20 |
| 1952690232 | Larry J Smith | Counselor | 114 N Saint Clair Abrams Ave, Tavares, FL 32778-3258 | 2011-04-07 |
| 1215171475 | Larry Eugene Smith Jr. | Physical Therapy Assistant | 1612 Oak St, Kenova, WV 25530-1118 | 2009-04-30 |
| 1104078708 | Larry Darnell Smith | Physical Therapist | 914 Tamarack Ave, Tallahassee, FL 32303-4649 | 2008-10-15 |
| 1700034345 | Larry Nelson Smith | Otolaryngology | 10925 Sw 27th Ave, Gainesville, FL 32608-8937 | 2008-09-08 |
| Street Address |
768 N US HIGHWAY 41 |
| City | ROCKVILLE |
| State | IN |
| Zip Code | 47872-7091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538852 | Mlb Rockville Health Facilities, Inc | Skilled Nursing Facility | 768 N Us Highway 41, Rockville, IN 47872-7091 | 2005-06-20 |
| 1003458191 | Chosen Rockville LLC | Substance Abuse Rehabilitation Facility | 768 N Us Highway 41, Rockville, IN 47872-7091 | 2019-10-10 |
| 1740525484 | Daviess County Hospital | Nursing Facility/Intermediate Care Facility | 768 N Us Highway 41, Rockville, IN 47872-7091 | 2012-12-06 |
| 1881876001 | Fal-rockville, Inc. | Skilled Nursing Facility | 768 N Us Highway 41, Rockville, IN 47872-7091 | 2007-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336776335 | Betty Lou Meier-forbes | Nurse Practitioner | 811 50 N, Rockville, IN 47872 | 2020-03-27 |
| 1114233756 | Rebecca Smith | Social Worker | 3911 E. Lee Drive, Rockville, IN 47872 | 2010-08-20 |
| 1619106952 | Valerie Lyn Jones | Optometrist | 725 N. Lincoln Rd, Rockville, IN 47872 | 2009-07-08 |
| 1184771834 | Gary T Coburn | Optometrist | 725 N Lincoln Road, Rockville, IN 47872 | 2007-01-04 |
| 1801965751 | Jon J. Ferguson | Chiropractor | 393 West U.S. Highway #36, Rockville, IN 47872 | 2006-11-07 |
| 1770531667 | Ronald Harold Bricker | Psychologist | Rr 5, Lee Alan Bryant, Rockville, IN 47872 | 2006-05-04 |
| 1811950470 | Parke County Emergency Medical and Transportation Services | Ambulance | 395 Parkeway Drive, Rockville, IN 47872 | 2006-04-06 |
| 1770706400 | Thomas D Nicholas Md Daniel J Dwyer Md | General Practice | 111 W High St, Rockville, IN 47872 | 2007-04-11 |
| 1760570774 | John Franklin Swaim | Family Medicine | 503 Anderson St, Rockville, IN 47872-1008 | 2006-10-11 |
| 1811204183 | Parke Clinic, Psc | Clinic/Center | 503 Anderson St, Rockville, IN 47872-1008 | 2010-09-08 |
| Find all providers in zip 47872 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336776335 | Betty Lou Meier-forbes | Nurse Practitioner | 811 50 N, Rockville, IN 47872 | 2020-03-27 |
| 1073160388 | Robin Burgess | Nurse Practitioner | 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 | 2019-08-21 |
| 1881155901 | Princess Stephenson | Nurse Practitioner | 15200 Shady Grove Rd Ste 320, Rockville, MD 20850-3218 | 2019-03-29 |
| 1609337252 | Esther Vinolia Koilpillai | Nurse Practitioner | 15225 Shady Grove Rd Ste 304, Rockville, MD 20850-3256 | 2019-03-27 |
| 1790242493 | Annette M Jamison | Nurse Practitioner | 50 W Gude Dr Ste 46b, Rockville, MD 20850-1150 | 2019-02-28 |
| 1548727811 | Erica Michelle Moreland | Nurse Practitioner | 10110 Molecular Dr Ste 114, Rockville, MD 20850-7538 | 2019-02-22 |
| 1114405537 | Baekcheol Lee | Nurse Practitioner | 15200 Shady Grove Rd Ste 108, Rockville, MD 20850-3218 | 2018-07-30 |
| 1568956530 | Insun Choi Mandlebaum | Nurse Practitioner | 12253 Tildenwood Dr, Rockville, MD 20852-4161 | 2018-06-21 |
| 1366945016 | Hannah Hyekyung Lee | Nurse Practitioner | 2401 Research Blvd Ste 330, Rockville, MD 20850-6255 | 2018-03-08 |
| 1982119376 | Oyebisi Ifeoluwa-eniola Olanrewaju | Nurse Practitioner | 14804 Physicians Ln Ste 121, Rockville, MD 20850-3912 | 2017-12-06 |
| Find all providers in ROCKVILLE | ||||
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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.