SHELLY R SMITH (NPI# 1730263500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730263500 |
| Entity Type | Individual |
| Full Name | SHELLY R SMITH |
| Practice Address |
825 N Nolan River Rd Cleburne TX 76033-7001 |
| Mailing Address |
425 Cartwright Dr Benbrook TX 76126-4451 |
| Practice Telephone | 8172499922 |
| Mailing Telephone | 8173437768 |
| Mailing Fax Number | 1730263500 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2018-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F01180557 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
607045 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437504222 | Shelly Smith | Licensed Practical Nurse | 912 Petoskey St, Petoskey, MI 49770-2937 | 2016-04-28 |
| 1609245752 | Shelly Smith | Respite Care | 6060 N Wildhorse Dr, Prescott Valley, AZ 86314-3346 | 2015-09-18 |
| 1518365667 | Shelly Smith | Registered Nurse | 458 Linwood St, Brooklyn, NY 11208-2132 | 2014-12-05 |
| 1457630774 | Shelly R Smith | Nurse Practitioner | 9000 Rockville Pike Nih Bldg 10 Rm 3n 210, Bethesda, MD 20892-0001 | 2011-08-04 |
| 1508075854 | Shelly E Smith | Pharmacist | 10501 New Haven Rd, Harrison, OH 45030-2734 | 2007-05-22 |
| 1386719771 | Shelly Jean Smith | Social Worker | 190 Delaware St., Sandusky, MI 48471 | 2006-11-21 |
| 1417911843 | Shelly P Smith | Nurse Practitioner | 3452 Anderson Hwy, Suite D, Powhatan, VA 23139-5845 | 2006-04-13 |
| 1992275721 | Shelly Smith | Technician | 401 N Oklahoma Ave, Mangum, OK 73554-3011 | 2018-12-05 |
| 1831626837 | Shelly Jean Marion Smith | Nurse Practitioner | 6973 Linda Vista Rd, San Diego, CA 92111-6342 | 2017-05-22 |
| 1295108504 | Shelly M Smith | Marriage & Family Therapist | 15300 Watertown Plank Rd Ste 106, Elm Grove, WI 53122-2348 | 2015-11-09 |
| Street Address |
825 N NOLAN RIVER RD |
| City | CLEBURNE |
| State | TX |
| Zip Code | 76033-7001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508819509 | Nabil K Aboukhair | Obstetrics & Gynecology | 825 N Nolan River Rd, Cleburne, TX 76033-7001 | 2006-05-18 |
| 1730683723 | Double S Nurse Practitioners | Nurse Practitioner | 825 N Nolan River Rd, Cleburne, TX 76033-7001 | 2018-03-22 |
| 1780987636 | Nabil K Aboukhair Md Pa | Specialist | 825 N Nolan River Rd, Cleburne, TX 76033-7001 | 2010-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628631 | Barbara Hicks | Technician | 1020 Highland Rd, Cleburne, TX 76033 | 2019-09-12 |
| 1346758315 | Tabatha Estes | Physician Assistant | 2010 W Katherine P Raines Rd Ste 100, Cleburne, TX 76033 | 2018-01-11 |
| 1053836759 | A Bright Foundation | Community/Behavioral Health | 509 Graham Street, Cleburne, TX 76033 | 2017-08-03 |
| 1891162491 | Lesa Hough | Occupational Therapist | 1503 Twin Oaks Ct, Cleburne, TX 76033 | 2015-08-31 |
| 1043695984 | Eduy J James | Nurse Practitioner | 128 S. Ridgeway Drive, Cleburne, TX 76033 | 2015-07-21 |
| 1306235775 | Bavousett's Caring Keepers | Registered Nurse | 405 N. Ridgeway Dr., Suite 1-a, Cleburne, TX 76033 | 2015-01-22 |
| 1679994313 | Health Imaging Partners LLC | Physiological Laboratory | 203 Walls Drive, Ste 101, Cleburne, TX 76033 | 2013-12-24 |
| 1043641079 | Melinda Weber | Counselor | 1819 Cr #1107a, Cleburne, TX 76033 | 2013-12-02 |
| 1356778070 | Jeremy Lamar Carter | Psychologist | 904 E Henderson St, Cleburne, TX 76033 | 2013-09-27 |
| 1770844102 | Heart To Heart Hospice of The Brazos, LLC | Hospice Care, Community Based | 1200 W Henderson St Ste I, Cleburne, TX 76033 | 2012-06-01 |
| Find all providers in zip 76033 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929669 | Jenner Hernandez | Nurse Practitioner | 3405 Fm 2280, Cleburne, TX 76031-7910 | 2020-10-16 |
| 1639710403 | Stephanie Johnsey | Nurse Practitioner | 141 S Westmeadow Dr, Cleburne, TX 76033-4586 | 2019-10-03 |
| 1255897328 | Shellabi Akwi Koffi | Nurse Practitioner | 895 N Nolan River Rd, Cleburne, TX 76033-1249 | 2019-02-13 |
| 1780054163 | Shelley Turk | Nurse Practitioner | 1494 Som County Road 314, Cleburne, TX 76033-9405 | 2015-09-29 |
| 1043695984 | Eduy J James | Nurse Practitioner | 128 S. Ridgeway Drive, Cleburne, TX 76033 | 2015-07-21 |
| 1871191775 | Jacqueline Melgar | Nurse Practitioner | 895 N Nolan River Rd Ste 102, Cleburne, TX 76033-1250 | 2020-10-13 |
| 1285241430 | Renee Suzanne Allen | Nurse Practitioner | 201 Walls Dr, Cleburne, TX 76033-4007 | 2020-09-30 |
| 1558991836 | Stephanie Nichole Perez-montelongo | Nurse Practitioner | 201 Walls Dr, Cleburne, TX 76033-4007 | 2020-01-25 |
| 1790327161 | Melissa Granados | Nurse Practitioner | 201 Walls Dr, Cleburne, TX 76033-4007 | 2019-10-17 |
| 1982160875 | Sarah Mccalla Meek | Nurse Practitioner | 220 N Ridgeway Dr, Cleburne, TX 76033-4115 | 2019-02-15 |
| Find all providers in CLEBURNE | ||||
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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.