SALLY SMITH (NPI# 1710502505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710502505 |
| Entity Type | Individual |
| Full Name | SALLY SMITH |
| Credential | LADC |
| Practice Address |
4525 Southcreek Rd Moore OK 73165-7359 |
| Practice Telephone | 4052267473 |
| Mailing Telephone | 4052267473 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
207 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861981193 | Sally Anne Smith | Nurse Practitioner | 51a Calle Gurule, Santa Fe, NM 87505-1413 | 2018-05-02 |
| 1205144631 | Sally Smith | Case Manager/Care Coordinator | 201 Carmen Ln, Santa Maria, CA 93458-7722 | 2010-09-20 |
| 1104971746 | Sally Jean Smith | Pediatrics | 3639 Harbor Blvd Ste 106, Ventura, CA 93001-4276 | 2007-01-24 |
| 1386705564 | Sally A Smith | Social Worker | 150 Bw Thomas Dr, Ste 125, Ft Mill, SC 29708 | 2006-12-12 |
| 1861025710 | Sally Nan Smith | Physical Therapy Assistant | 1638 Vz County Road 1803, Grand Saline, TX 75140-3494 | 2020-02-19 |
| 1174165195 | Sally Nissa Smith | Social Worker | 8140 Dream St Ste D, Florence, KY 41042-7532 | 2019-10-10 |
| 1194200204 | Sally Smith | Counselor | 3300 Canal St Ste 120, New Orleans, LA 70119-6246 | 2018-09-25 |
| 1952896748 | Sally Emma Smith | Surgery | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2018-06-25 |
| 1215427075 | Sally Ann Smith | Licensed Vocational Nurse | 8318 Jones Maltsberger Rd Ste 121, San Antonio, TX 78216-6552 | 2018-05-16 |
| 1760921571 | Sally Smith | Counselor | 145 Main St, Lakeville, MA 02347-1621 | 2017-02-14 |
| Street Address |
4525 SOUTHCREEK RD |
| City | MOORE |
| State | OK |
| Zip Code | 73165-7359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275961153 | Jacqueline Ann Falkner | Social Worker | 10231 Schwartz Drive, Oklahoma City, OK 73165 | 2013-10-31 |
| 1659624583 | Dewayne Williams | Social Worker | 5816 Se 144th St, Oklahoma City, OK 73165 | 2012-10-16 |
| 1407054018 | Carrie Matthews | Occupational Therapy Assistant | 3030 Nw Expwy Suite # 809, Okc, OK 73165 | 2007-07-05 |
| 1588096598 | Kimberly Michelle Marshall | Behavioral Analyst | 14708 Almond Valley Dr, Oklahoma City, OK 73165-1416 | 2013-07-31 |
| 1508316530 | Shayniel Stears | Physician Assistant | 16201 Gossamer Way, Oklahoma City, OK 73165-1503 | 2016-10-13 |
| 1427614536 | Katie Marie Zink | Case Manager/Care Coordinator | 12875 Willow Bay Dr, Oklahoma City, OK 73165-3201 | 2019-05-14 |
| 1386943520 | Emily Nicole Wise | Counselor | 13637 Se 94th St, Oklahoma City, OK 73165-4633 | 2011-03-25 |
| 1780155945 | Brent Branham | Peer Specialist | 11601 W Stanley Draper Dr, Oklahoma City, OK 73165-6503 | 2018-12-16 |
| 1437700747 | Kay Tollefson | Technician | 12770 Se 149th St, Oklahoma City, OK 73165-6701 | 2019-09-27 |
| 1649681131 | Ollivett Brothers | Behavioral Analyst | 15811 Karen Dr, Oklahoma City, OK 73165-6784 | 2014-05-19 |
| Find all providers in zip 73165 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922497197 | Sarah Druzbicki | Counselor | 1533 Se 7th St, Moore, OK 73160-8243 | 2015-01-12 |
| 1639518749 | Lauren L Metcalf | Counselor | 9205 Buttonwood Ave, Moore, OK 73160-9108 | 2013-06-21 |
| 1114291499 | Kimberly D Desoto | Counselor | 728 Ashwood Ln, Moore, OK 73160-8717 | 2012-03-03 |
| 1073789657 | Cathy Maria Brown | Counselor | 201 N Broadway St Ste 213, Moore, OK 73160-5135 | 2008-05-05 |
| 1013121920 | Deborah A Gray | Counselor | 2119 Riverwalk Dr # 218, Moore, OK 73160-2700 | 2007-05-09 |
| 1730200692 | Dandra Kaye Rentie | Counselor | 624 Nw 5th Street, Moore, OK 73160 | 2007-04-02 |
| 1114438058 | Henrietta Mae Nelson | Counselor | 400 N Eastern Ave, Moore, OK 73160-5833 | 2017-10-18 |
| 1558887356 | Ida S Kemunto Magati | Counselor | 626 N Broadway St, Moore, OK 73160-4814 | 2017-08-15 |
| 1326278581 | Elizabeth Ann Dubois | Counselor | 624 Nw 5th St, Moore, OK 73160-3924 | 2009-07-22 |
| 1225159916 | Terry Rawlins | Counselor | 624 Nw 5th St, Moore, OK 73160-3924 | 2007-04-02 |
| Find all providers in MOORE | ||||
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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.