MRS. KIMBERLY GRACE SCHMIDT (NPI# 1710151949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710151949 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY GRACE SCHMIDT |
| Credential | PA |
| Practice Address |
496 Smithtown Byp Ste 200 Smithtown NY 11787 |
| Mailing Address |
496 Smithtown Byp Ste 200 Smithtown NY 11787-5011 |
| Practice Telephone | 6313615300 |
| Practice Fax Number | 6313615301 |
| Mailing Telephone | 6313615300 |
| Mailing Fax Number | 6313615301 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
007810 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 57190 Route 25, Southold, NY 119714750 | 6316261006 | 6314776219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275809410 | Kimberly Marie Schmidt | Nurse Anesthetist, Certified Registered | 12160 Dunhill Dr, Boynton Beach, FL 33437-6058 | 2012-03-30 |
| 1861780785 | Kimberly Ann Schmidt | Optometrist | 333 S State St Ste T, Lake Oswego, OR 97034-3948 | 2011-07-12 |
| 1558597914 | Kimberly Beth Schmidt | Chiropractor | 1901 Ames Ct, Fort Collins, CO 80526-6109 | 2009-05-29 |
| 1053558395 | Kimberly A Schmidt | Counselor | 120 North Ave, Apt 3, Abington, MA 02351-1747 | 2009-01-08 |
| 1811529050 | Kimberly Marie Schmidt | Family Medicine | 774 Landa St, New Braunfels, TX 78130-6114 | 2020-02-05 |
| 1104391424 | Kimberly Jo Schmidt | Dietitian, Registered | 100 E Idaho St Ste 200, Boise, ID 83712-6270 | 2018-10-13 |
| 1528436557 | Kimberly Marie Schmidt | Nurse Practitioner | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2015-09-08 |
| 1780933291 | Kimberly Mae Schmidt | Chiropractor | 1121 Jordan Creek Pkwy Ste 100, West Des Moines, IA 50266-5816 | 2012-08-30 |
| 1922323229 | Kimberly Anne Schmidt | Counselor | 5979 Siggelkow Rd, Mc Farland, WI 53558-9817 | 2010-03-30 |
| 1831235191 | Kimberly A Schmidt | Student in an Organized Health Care Education/Training Program | 400 Ne 7th St, Gresham, OR 97030-5604 | 2007-01-30 |
| Street Address |
496 SMITHTOWN BYP STE 200 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912927047 | Benjamin Tannenbaum | Chiropractor | 496 Smithtown Byp Ste 200, Smithtown, NY 11787-5011 | 2006-07-20 |
| 1770128746 | Jonald Boyles Evangelista | Physical Therapist | 496 Smithtown Byp Ste 200, Smithtown, NY 11787-5011 | 2019-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588228860 | Kyle Godden | Physician Assistant | 257 E Main St Bldg C, Smithtown, NY 11787-2807 | 2019-04-23 |
| 1821406109 | Charles Slowey IIi | Physician Assistant | 9 Ingelore Ct, Smithtown, NY 11787-1705 | 2014-07-30 |
| 1265732374 | Mandy Page | Physician Assistant | 994 Jericho Tpke, Suite 201, Smithtown, NY 11787-3235 | 2010-10-25 |
| 1508035916 | Deborah Leone | Physician Assistant | 29 Ridge Rd, Smithtown, NY 11787-2505 | 2008-02-29 |
| 1265521298 | Susan Conaty | Physician Assistant | 260 Middle Country Road, Suite 208, Smithtown, NY 11787 | 2006-10-11 |
| 1124663505 | Jessica Kristi Angelone | Physician Assistant | 309 E Main St, Smithtown, NY 11787-2844 | 2019-11-09 |
| 1639484207 | Deanna M Krolick | Physician Assistant | 48 Route 25a Ste 301, Smithtown, NY 11787-1454 | 2010-08-08 |
| 1154513117 | Johanna Petrycki | Physician Assistant | 222 Middle Country Rd, Suite 228, Smithtown, NY 11787-2871 | 2007-08-14 |
| 1902930738 | Esther K. Kopiec-levine | Physician Assistant | 327 E Main St, Smithtown, NY 11787-2905 | 2007-03-15 |
| 1952408395 | Gerard Anthony Squittiere | Physician Assistant | 50 Route 25a, Smithtown, NY 11787-1348 | 2006-09-20 |
| Find all providers in SMITHTOWN | ||||
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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.