MR. DEREK SMITH (NPI# 1669908802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669908802 |
| Entity Type | Individual |
| Full Name | MR. DEREK SMITH |
| Credential | AGPCNP-BC |
| Practice Address |
3701 Kirby Dr Suite 1230 Houston TX 77098-3900 |
| Practice Telephone | 7135260005 |
| Enumeration Date | 2017-05-09 |
| Last Update Date | 2017-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP133835 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496110 | Derek Jenkins Smith | Home Health Aide | 2514 24th St Ne, Washington, DC 20018-2126 | 2020-01-10 |
| 1922511765 | Derek Smith | Counselor | 1317 Wilmer Ave Ste 102, Anniston, AL 36201-4600 | 2017-11-15 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1518375682 | Derek Smith | Chiropractor | 809 Iroquois Cir, Baraboo, WI 53913-1248 | 2014-08-01 |
| 1386066082 | Derek Smith | Pharmacist | 727 E Main St, Havana, IL 62644-1530 | 2014-01-15 |
| 1730522863 | Derek K Smith | Student in an Organized Health Care Education/Training Program | 2025 Morse Avenue 1east Rm#6, Sacramento, CA 95825 | 2013-04-08 |
| 1346582525 | Derek Beeson Smith | Orthopaedic Surgery | 1140 Sw Simpson Ave Ste 100, Bend, OR 97702 | 2013-03-26 |
| 1780937961 | Derek Smith | Physical Therapist | 7405 W Arizona Pl, Lakewood, CO 80232-5416 | 2012-10-24 |
| 1407869019 | Derek R Smith | Psychiatry & Neurology | One Towne Park Plaza, Norwich, CT 06360 | 2006-08-14 |
| 1689298861 | Derek Nathaniel Smith | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-06-03 |
| Street Address |
3701 KIRBY DR SUITE 1230 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77098-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225038714 | Robert Alan Fulford | Orthopaedic Surgery | 3701 Kirby Dr, Suite 436, Houston, TX 77098-3900 | 2005-07-26 |
| 1265888044 | Happy Soul Counseling and Wellness Pllc | Counselor | 3701 Kirby Dr, Suite #890, Houston, TX 77098-3900 | 2016-05-10 |
| 1760857361 | Eva Kauppila | Social Worker | 3701 Kirby Dr, Houston, TX 77098-3900 | 2015-12-08 |
| 1538558549 | Munira Jiwani | Nurse Practitioner | 3701 Kirby Dr, Suite 570, Houston, TX 77098-3900 | 2015-01-14 |
| 1023413713 | Baylor College of Medicine | Anesthesiology | 3701 Kirby Dr, Suite 100, Houston, TX 77098-3900 | 2014-10-24 |
| 1346651593 | Margaret Howell White | Nurse Practitioner | 3701 Kirby Dr, Ms 280, Houston, TX 77098-3900 | 2014-05-09 |
| 1588098511 | Monica M Alzate | Social Worker | 3701 Kirby Dr, Suite 600., Houston, TX 77098-3900 | 2013-08-27 |
| 1386939122 | Maria Carmenza Mejia De Grubb | General Practice | 3701 Kirby Dr, 100, Houston, TX 77098-3900 | 2011-06-09 |
| 1619261716 | Nidhi Mehrotra | Family Medicine | 3701 Kirby Dr, Suite 600, Houston, TX 77098-3900 | 2011-06-06 |
| 1427340686 | Abdullah Ahmed Khafagy | Student in an Organized Health Care Education/Training Program | 3701 Kirby Dr, Suite 600, Houston, TX 77098-3900 | 2011-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114570199 | Neurology Practice Group, Pllc | Clinic/Center | 2711 Ferndale Street, Houston, TX 77098 | 2019-07-19 |
| 1235685488 | Help Start Here & Consulting | Counselor | 2724 Kipling St Apt D132, Houston, TX 77098 | 2016-08-28 |
| 1578938635 | Jennifer Laurel Gardner | Social Worker | 3100 Richmond Ave Ste 403, Houston, TX 77098 | 2015-12-01 |
| 1861877813 | Emanuel Mugu Miano | Physical Therapist | 2121 Richmond Ave # 324, Houston, TX 77098 | 2015-07-20 |
| 1780061739 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2111 W Alabama St, Houston, TX 77098 | 2015-04-29 |
| 1538563770 | Amber Gay Fichtner | Physician Assistant | 2800 Kirby Drive Suite B212, Houston, TX 77098 | 2014-10-17 |
| 1356754246 | Elline Callner | Occupational Therapist | 3120 Southwest Freeway, Suite 612, Houston, TX 77098 | 2014-06-09 |
| 1316366420 | Rinnovare Home Dialysis | Home Health | 2800 Kirby Drive Suite B513, Houston, TX 77098 | 2014-04-16 |
| 1831514199 | Pediatric Home Healthcare | Home Health | 3120 Southwest Fwy Ste 227, Houston, TX 77098 | 2014-02-24 |
| 1295164523 | Shang-jin Shi | Acupuncturist | 1906 West Alabama Street, Houston, TX 77098 | 2013-11-07 |
| Find all providers in zip 77098 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483690 | Amy Calder | Nurse Practitioner | 14441 Memorial Dr Ste 5, Houston, TX 77079-6708 | 2020-10-05 |
| 1992325906 | Emily Natosha Bennett | Nurse Practitioner | 4323 Dragonwick Dr, Houston, TX 77045-3311 | 2020-04-20 |
| 1770113011 | Daniel Toussaint | Nurse Practitioner | 12323 Valley Hills Dr, Houston, TX 77071-3018 | 2020-01-24 |
| 1841830445 | Advanced Practice House Calls LLC | Nurse Practitioner | 9000 Almeda Rd Apt 3201, Houston, TX 77054-4327 | 2020-01-10 |
| 1629614854 | Kenneth Emordi | Nurse Practitioner | 10103 Fondren Rd Ste 464, Houston, TX 77096-4677 | 2019-11-22 |
| 1184260572 | Ann Williams | Nurse Practitioner | 5 Greenway Plz, Houston, TX 77046-0526 | 2019-11-21 |
| 1427515444 | Jessica Renaudo | Nurse Practitioner | 15015 Coral Sands Dr, Houston, TX 77062-2918 | 2019-02-26 |
| 1265958110 | Misida Gwanyebit-fodje | Nurse Practitioner | 18220 Texas 249 Access Road, 230, Houston, TX 77070 | 2017-08-22 |
| 1538684253 | Saera Chung | Nurse Practitioner | 6560 Fannin St Ste 1002, Houston, TX 77030-2713 | 2017-08-03 |
| 1881060093 | Cyprine Manduku | Nurse Practitioner | 8723 Auburn Glen Ln, Houston, TX 77095-4699 | 2015-08-12 |
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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.