MRS. SUSAN LYNN SMITHWICK (NPI# 1730676321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730676321 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN LYNN SMITHWICK |
| Credential | APRN, FNP-C |
| Practice Address |
805 Hill Blvd Unit 102 Granbury TX 76048-1482 |
| Practice Telephone | 8175735688 |
| Mailing Telephone | 8175735688 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP135066 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 805 Hill Blvd Unit 104, Granbury, TX 760481482 | 8175735688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922172790 | Susan J Smithwick | Nurse Practitioner | 4301 W Markham St, Little Rock, AR 72205-7101 | 2006-11-20 |
| Street Address |
805 HILL BLVD UNIT 102 |
| City | GRANBURY |
| State | TX |
| Zip Code | 76048-1482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063686301 | Avalon Urgent Care | Clinic/Center | 805 Hill Blvd Unit 102, Granbury, TX 76048-1482 | 2008-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213415 | Tena Lee Wood I | Licensed Practical Nurse | 302 S. Crites Granbury Tx. 76048, 302 S. Crites Granbury Tx. 76048, Granbury, TX 76048 | 2019-12-26 |
| 1811456593 | Laura Nicole Graham | Counselor | 2101 West Pearl Street, Granbury, TX 76048 | 2019-03-13 |
| 1477000974 | Globalrehab - Fort Worth, Lp | Rehabilitation Hospital | 805 Hill Blve, Ste 109, Granbury, TX 76048 | 2016-09-01 |
| 1780130245 | Rachel Diane Rouse | Counselor | 1903 W Pearl Street, Granbury, TX 76048 | 2016-08-25 |
| 1477946648 | Adriana Brown | Nurse Practitioner | 805 Hill Blvd., #104, Granbury, TX 76048 | 2015-03-12 |
| 1407261233 | Rogers King Coleman | General Practice | 1411 Crawford Street, Granbury, TX 76048 | 2014-07-01 |
| 1891115176 | Trinity Nursing and Rehabilitation of Granbury, Lp | Skilled Nursing Facility | 600 Reunion Court, Granbury, TX 76048 | 2014-04-24 |
| 1639507122 | Kayelen Helton | Counselor | 807 Paluxy Road, Granbury, TX 76048 | 2013-10-22 |
| 1013257799 | Pecan Valley Mhmr Region | Counselor | 2101 W. Pearl St., Granbury, TX 76048 | 2013-02-18 |
| 1114240223 | Talbot Green Mccormick Jr. | General Practice | 2306 Cologne Dr., Granbury, TX 76048 | 2010-03-03 |
| Find all providers in zip 76048 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870959 | Lyndi Armstrong | Nurse Practitioner | 6027 Acton Meadows Ct, Granbury, TX 76049-5294 | 2020-07-31 |
| 1033743802 | Debra Lynn Shearon | Nurse Practitioner | 3605 Pecan Arbor Ct, Granbury, TX 76049 | 2020-03-02 |
| 1790322279 | Jillian Kelcie Moody | Nurse Practitioner | 805 Hill Blvd Unit 103, Granbury, TX 76048-1482 | 2019-12-04 |
| 1477946648 | Adriana Brown | Nurse Practitioner | 805 Hill Blvd., #104, Granbury, TX 76048 | 2015-03-12 |
| 1043584329 | Monica D Lee | Nurse Practitioner | 1322 Paluxy Rd Ste 2, Granbury, TX 76048-5603 | 2012-03-03 |
| 1083716450 | Martha Smith | Nurse Practitioner | 3801 E Us Highway 377 Ste 100, Granbury, TX 76049-7620 | 2006-09-05 |
| 1093755704 | Haskell Ray Derryberry | Nurse Practitioner | 1322 Paluxy Rd, Suite #2, Granbury, TX 76048-5603 | 2006-06-08 |
| 1528605615 | Tana Marie Holstein | Nurse Practitioner | 3801 E Us Highway 377 Ste 100, Granbury, TX 76049-7620 | 2019-12-08 |
| 1932619848 | Sydney Nicole Styron | Nurse Practitioner | 601 Fall Creek Hwy, Granbury, TX 76049-7960 | 2017-10-05 |
| 1821519430 | Summer Warren Cargill | Nurse Practitioner | 3801 E Us Highway 377 Ste 100, Granbury, TX 76049-7620 | 2017-07-05 |
| Find all providers in GRANBURY | ||||
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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.