MR. MICHELLE RENEE SMYTH (NPI# 1699744680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699744680 |
| Entity Type | Individual |
| Full Name | MR. MICHELLE RENEE SMYTH |
| Credential | OT |
| Practice Address |
1650 Cochrane Cir Fort Carson CO 80913-4603 |
| Mailing Address |
3114 Capstan Way Colorado Springs CO 80906-8513 |
| Practice Telephone | 7195267110 |
| Mailing Telephone | 7196417346 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | KY-R2835 | KY | Other Service Providers |
| Street Address |
1650 COCHRANE CIR |
| City | FORT CARSON |
| State | CO |
| Zip Code | 80913-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899780 | Jonathan Tyler Froshaug | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2020-07-27 |
| 1841809837 | Andrew Finn | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2020-07-27 |
| 1750999512 | Vimarys Leiwalo | Nurse Anesthetist, Certified Registered | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2020-07-17 |
| 1184263683 | John Rising | Pharmacist | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-12-31 |
| 1215595665 | Jonathan Maten | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1053979401 | Daniel Matthes | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1114585569 | Adam Clements | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1619532520 | Savanna Ann Klippel | Nurse Practitioner | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-06 |
| 1689139057 | John Nunn | Family Medicine | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-02-09 |
| 1326512781 | Joshua Hickman | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518142389 | Catherine Sue Mcdowall | Military Health Care Provider | 1650 Cochrane Cir, Fort Carson Meddac, Fort Carson, CO 80913-4603 | 2007-12-29 |
| 1598776379 | Jacob Morrow | Military Health Care Provider | 1650 Cochrane Cir, Fort Carson, CO 80913-4603 | 2006-08-10 |
| 1063482776 | Jerome Paul Limoge Jr. | Military Health Care Provider | 1650 Cochran Circle, Fort Carson, CO 80913 | 2006-01-25 |
| 1790764819 | Kurt Anthony Brower | Military Health Care Provider | 1650 Cochrane Cir, Fort Carson, CO 80913-4603 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295083038 | Gretchen Mann | Military Health Care Provider | 621 17th St., #479, Denver Military Entrance and Processing Station, Denver, CO 80293-0621 | 2012-08-28 |
| 1871808279 | Deborah Taylor | Military Health Care Provider | 2015 S Fillmore St, Denver, CO 80210-3516 | 2010-08-10 |
| 1427261965 | Horace Lannis Baker | Military Health Care Provider | 5731 Wells Fargo Dr, Colorado Springs, CO 80918-5219 | 2007-05-08 |
| 1659935054 | Vashti Y Espinosa | Military Health Care Provider | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2019-05-01 |
| 1720582448 | Cristina Cosner | Military Health Care Provider | 559 Vincent St, Attn: 21 Mdos/sgof - Flight Med, Peterson Afb, CO 80914-1540 | 2018-03-19 |
| 1154746048 | Danielle Medina | Military Health Care Provider | 6208 Lehman Drive, Suite 108, Colorado Springs, CO 80918 | 2014-02-28 |
| 1346580081 | William Taylor Timberlake IIi | Military Health Care Provider | 220 Falcon Pkwy, Schriever Afb, CO 80912-5005 | 2013-02-17 |
| 1922249853 | Heather Marie Ford | Military Health Care Provider | 4102 Pinion Dr, United States Air Force Acad, CO 80840-2502 | 2009-03-24 |
| City | FORT CARSON |
| Zip Code | 80913 |
Please comment or provide details below to improve the information on MR. MICHELLE RENEE SMYTH.
| 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.