MS. KIMBERLY MOSER SMITH (NPI# 1780651505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780651505 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY MOSER SMITH |
| Credential | A.P.N |
| Practice Address |
1526 E Main Stree Melbourne Medical Clinic Melbourne AR 72556-3736 |
| Mailing Address |
1526 E. Main Street Melbourne Medical Clinic Melbourne AR 72556 |
| Practice Telephone | 8703684344 |
| Practice Fax Number | 8703683051 |
| Mailing Telephone | 8703684344 |
| Mailing Fax Number | 8703683051 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2016-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A01757 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | RAILROAD MEDICARE | P00130335 | 01 |
| AR | 152621758 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496443 | Kimberly A Smith | Counselor | 2764 Teakwood Ln, Plano, TX 75075-9100 | 2020-10-30 |
| 1437703212 | Kimberly L Smith | Massage Therapist | 2707 Silesia Ln Apt C, Bellingham, WA 98226-3664 | 2019-07-30 |
| 1831651298 | Kimberly A Smith | Hearing Instrument Specialist | 954 E Main St, Chillicothe, OH 45601-2844 | 2019-04-04 |
| 1467916437 | Kimberly Alicia Smith | Family Medicine | 4000 Mitchellville Rd Ste A308, Bowie, MD 20716-3135 | 2019-01-24 |
| 1891296901 | Kimberly Diane Smith | Acupuncturist | 11110 Ohio Ave Ste 105, Los Angeles, CA 90025-6345 | 2018-02-23 |
| 1184140881 | Kimberly Denise Smith | Peer Specialist | 720 14th Ave Fl 2, Longview, WA 98632-2315 | 2017-08-15 |
| 1285164897 | Kimberly Smith | Contractor | 2607 Lakebriar St, San Antonio, TX 78222 | 2017-06-15 |
| 1912458092 | Kimberly Grace Smith | Speech-Language Pathologist | 220 Lincoln Pl, Apt 2f, Brooklyn, NY 11217-3761 | 2016-10-24 |
| 1922553171 | Kimberly Smith | Licensed Practical Nurse | 4432 Drexel St, Detroit, MI 48215-3346 | 2016-08-17 |
| 1144673476 | Kimberly B. Smith | Speech-Language Pathologist | 39341 Jason St, Prairieville, LA 70769-4614 | 2016-07-21 |
| Street Address |
1526 E MAIN STREE MELBOURNE MEDICAL CLINIC |
| City | MELBOURNE |
| State | AR |
| Zip Code | 72556-3736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143950 | Brad Wheelis Family Dentistry Pllc | Clinic/Center | 1218 East Main St, Melbourne, AR 72556 | 2020-08-06 |
| 1932742640 | Abby Everett | Pharmacist | 803 E Main Street, Melbourne, AR 72556 | 2019-10-25 |
| 1154849065 | Baxter Regional Health System | Nurse Practitioner | 1019 East Main Street, Melbourne, AR 72556 | 2017-08-31 |
| 1265955512 | Kids El Melbourne | Pediatrics | 889 East Main, Melbourne, AR 72556 | 2017-07-19 |
| 1245752070 | Morgan Brittany Shirley | Nurse Practitioner | 1019 E. Main St., Melbourne, AR 72556 | 2017-07-13 |
| 1467988725 | Anita Love | Case Manager/Care Coordinator | 637 Esat Main St, Melbourne, AR 72556 | 2017-05-05 |
| 1558729236 | Regan Tharp | Developmental Therapist | 889 E. Main, Melbourne, AR 72556 | 2016-02-09 |
| 1740693274 | Richard Thomas Keefer | Social Worker | 637 East Main St, Melbourne, AR 72556 | 2014-06-02 |
| 1164858437 | Mary Grice Duncan | Pharmacist | 600 N. Main Street, Suite C, Melbourne, AR 72556 | 2013-09-18 |
| 1265871248 | Kidspiration Pediatric Therapy Services Too, Inc. | Clinic/Center | 905 East Main St, Melbourne, AR 72556 | 2013-06-23 |
| Find all providers in zip 72556 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285231985 | Kristy Mccoy Sharpe | Nurse Practitioner | 2032 Buescher Hill St, Melbourne, FL 32935-2170 | 2020-10-06 |
| 1326658840 | Deniece Santana | Nurse Practitioner | Health First Medical Group, LLC, 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2020-08-10 |
| 1891313334 | Kellie L Herrington | Nurse Practitioner | 1600 Sarno Rd Ste E, Melbourne, FL 32935-4938 | 2020-07-10 |
| 1871118455 | Denise M Marburger | Nurse Practitioner | 567 Trend Rd, Melbourne, FL 32904-7429 | 2020-06-10 |
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1932670510 | Susan Lynn Beattie | Nurse Practitioner | 4766 White Heron Dr, Melbourne, FL 32934-3293 | 2018-12-08 |
| 1831678994 | Joyce Colson | Nurse Practitioner | 8055 Spyglass Hill Rd Ste 102, Melbourne, FL 32940-8564 | 2018-08-09 |
| 1104336577 | Peak Performance Medical | Nurse Practitioner | 3800 W Eau Gallie Blvd Ste 101, Melbourne, FL 32934-3285 | 2017-10-11 |
| 1154849065 | Baxter Regional Health System | Nurse Practitioner | 1019 East Main Street, Melbourne, AR 72556 | 2017-08-31 |
| 1134676836 | Rachael Howard | Nurse Practitioner | 5545 N Wickham Rd Ste 104, Melbourne, FL 32940-7323 | 2016-09-09 |
| Find all providers in MELBOURNE | ||||
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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.