MRS. MARY ELIZABETH SMITH (NPI# 1679836506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679836506 |
| Entity Type | Individual |
| Full Name | MRS. MARY ELIZABETH SMITH |
| Credential | ANP |
| Practice Address |
10928 Eagle River Rd Ste 254 Eagle River AK 99577-8038 |
| Practice Telephone | 9076945522 |
| Mailing Telephone | 9076945522 |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1284 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604133 | Mary Smith | Technician | 3306 Cypress Ave, Cleveland, OH 44109-4935 | 2020-09-22 |
| 1275147209 | Mary Irene Smith | Technician | 490 Court St, Fort Gay, WV 25514-9304 | 2020-09-08 |
| 1679183560 | Mary Jean Smith | Counselor | 2105 Capurro Way Ste 270, Sparks, NV 89431-8518 | 2020-08-05 |
| 1346863016 | Mary Maegan Smith | Physical Therapy Assistant | 4545 State Highway 135 N, Jacksonville, TX 75766-6971 | 2020-05-28 |
| 1326668716 | Mary Smith | Adult Companion | 2546 Ne 11th Pl, Gainesville, FL 32641-4886 | 2020-04-25 |
| 1912534256 | Mary Margaret Smith | Dietitian, Registered | 756 Forest Dr, Mayville, WI 53050-1704 | 2020-03-26 |
| 1265074454 | Mary Elizabeth Smith | Nurse Practitioner | 1441 Ne 10th Ave # Aev, Payette, ID 83661-5420 | 2019-10-09 |
| 1477014686 | Mary Smith | Physical Therapy Assistant | 209 Laura Springs Dr, Salisbury, NC 28146-7216 | 2019-03-29 |
| 1578040341 | Mary Stefanie Smith | Marriage & Family Therapist | 17581 Via Sereno, Monte Sereno, CA 95030-3201 | 2018-07-25 |
| 1720588817 | Mary Smith | Home Health Aide | 5333 Dix St Ne, Washington, DC 20019-6664 | 2018-02-15 |
| Street Address |
10928 EAGLE RIVER RD STE 254 |
| City | EAGLE RIVER |
| State | AK |
| Zip Code | 99577-8038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669463923 | Hal E Hagge | Optometrist | 10928 Eagle River Rd, Ste.# 102, Eagle River, AK 99577-8038 | 2005-11-03 |
| 1053762062 | Nervana Health Solutions LLC | Chiropractor | 10928 Eagle River Rd, # 104, Eagle River, AK 99577-8078 | 2016-06-30 |
| 1528456696 | Vacca Physiatry LLC | Physical Medicine & Rehabilitation | 10928 Eagle River Rd, Suite 104, Eagle River, AK 99577-8078 | 2014-12-24 |
| 1285048124 | Adam Bellendier | Chiropractor | 10928 Eagle River Rd, Suite 104, Eagle River, AK 99577-8078 | 2014-06-18 |
| 1922436328 | Tincher Therapy Services | Clinic/Center | 10928 Eagle River Rd, #140, Eagle River, AK 99577-8038 | 2013-10-22 |
| 1407171069 | Northern Anesthesia and Pain Medicine, LLC | Pain Medicine | 10928 Eagle River Rd, Suite 240, Eagle River, AK 99577-8078 | 2010-04-06 |
| 1831347889 | Alfred Montague Land Iv | Dentist | 10928 Eagle River Rd, Suite 250, Eagle River, AK 99577-8038 | 2008-09-03 |
| 1053531491 | Daniel J Young | Acupuncturist | 10928 Eagle River Rd, Suite 254, Eagle River, AK 99577-8038 | 2007-04-26 |
| 1912048679 | Kenneth Richard Helm | Dentist | 10928 Eagle River Rd, Suite 202, Eagle River, AK 99577-8078 | 2007-02-08 |
| 1417041526 | Brian Domenic Vacca | Physical Medicine & Rehabilitation | 10928 Eagle River Rd, Suite 104, Eagle River, AK 99577-8078 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
| 1073007209 | Center for Natural Medicine, Inc. | Acupuncturist | 16844 Easy St, Eagle River, AK 99577 | 2018-06-20 |
| 1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
| 1700387529 | Aaron Wesley Jones | Behavior Technician | 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 | 2018-02-27 |
| 1033641881 | Sierra Bracken | Massage Therapist | 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 | 2017-03-31 |
| 1699213231 | Jolene Denee Rogers | Counselor | 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 | 2017-02-02 |
| 1881040962 | Elizabeth Hanson | Behavioral Analyst | 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 | 2016-05-09 |
| 1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
| 1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
| 1417365362 | Tammi Smith | Community Health Worker | 16510 Centerfield Dr B 107, Eagle River, AK 99577 | 2014-07-23 |
| Find all providers in zip 99577 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
| 1477945343 | Phyllis Goodwin | Nurse Practitioner | 16706 Riddell Cir, Eagle River, AK 99577-7600 | 2015-03-02 |
| 1679772735 | Health Works Family Medical Clinic Inc | Nurse Practitioner | 12812 Old Glenn Hwy Ste A7, Eagle River, AK 99577-7003 | 2007-07-17 |
| 1932217494 | Doris Ann Carter | Nurse Practitioner | 12320 Old Glenn Hwy, Ste A, Eagle River, AK 99577-7598 | 2006-08-26 |
| 1639130594 | Heather R Martin | Nurse Practitioner | 17101 Snowmobile Ln St 102, Primary Care Associates, Eagle River, AK 99577 | 2006-03-30 |
| 1841733706 | Victoria Miller | Nurse Practitioner | 16425 Brooks Loop, Eagle River, AK 99577-8027 | 2016-11-28 |
| 1174071641 | Casta Townsley | Nurse Practitioner | 17101 Snowmobile Ln Ste 102, Eagle River, AK 99577-7043 | 2016-09-14 |
| 1326328972 | Mary J Kahl | Nurse Practitioner | 930 E Wall St, Eagle River, WI 54521-9368 | 2011-08-26 |
| 1679704688 | Acute Family Medicine Clinic Inc | Nurse Practitioner | 11470 Business Blvd, Ste 100, Eagle River, AK 99577-7780 | 2009-08-07 |
| 1144495425 | Debra M Schepker | Nurse Practitioner | 150 Hospital Rd, Eagle River, WI 54521-8877 | 2008-04-28 |
| Find all providers in EAGLE RIVER | ||||
| City | EAGLE RIVER |
| Zip Code | 99577 |
Please comment or provide details below to improve the information on MRS. MARY ELIZABETH 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.