EBONY MICHELLE SMITH (NPI# 1790204980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790204980 |
| Entity Type | Individual |
| Full Name | EBONY MICHELLE SMITH |
| Practice Address |
6851 Plymouth Rd Apt 24 Stockton CA 95207-2321 |
| Mailing Address |
1111 N El Dorado St Stockton CA 95202-1305 |
| Practice Telephone | 2092107079 |
| Mailing Telephone | 2099380228 |
| Mailing Fax Number | 2099380281 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376104950 | Ebony Smith | Registered Nurse | 5920 Burger St, Dearborn Heights, MI 48127-2412 | 2019-06-25 |
| 1205496809 | Ebony Smith | Technician | 8469 Pattette Pl, White Plains, MD 20695-3497 | 2019-06-17 |
| 1811402449 | Ebony Smith | Home Health Aide | 1837 Nw 2nd St, Ocala, FL 34475-6342 | 2017-12-05 |
| 1255683967 | Ebony M. Smith | Licensed Practical Nurse | 328 Interchange Dr, Fayetteville, NC 28311-7417 | 2012-10-04 |
| 1366724254 | Ebony Smith | Pharmacist | 5004 W Esplanade Ave, Metairie, LA 70006-2551 | 2011-09-15 |
| 1376874339 | Ebony Michelle Smith | Psychologist | 912 Black Jack Ln, Moore, OK 73160-0900 | 2010-01-14 |
| 1588261606 | Ebony Etashia Smith | Home Health Aide | 130 George St Ste J, Beckley, WV 25801-2648 | 2020-10-01 |
| 1568010833 | Ebony Smith | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2019-08-29 |
| 1871035394 | Ebony Jolan Smith | Counselor | 8211 Summa Ave, Suite F, Baton Rouge, LA 70809 | 2016-11-15 |
| 1669838421 | Ebony L Smith | Licensed Practical Nurse | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2016-01-11 |
| Street Address |
6851 PLYMOUTH RD APT 24 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893155 | Tracey Black | Counselor | 130 W Flora St, Stockton, CA 95202-1636 | 2020-08-25 |
| 1699305508 | Juan Robles | Counselor | 1947 N California St # 95204, Stockton, CA 95204-6029 | 2020-01-20 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1821648353 | Kaye Lynn Scott-roy | Counselor | 285 H Rd, Stockton, KS 67669-8889 | 2019-09-17 |
| 1760049043 | Jay Frank Williams | Counselor | 1105 N El Dorado St, Stockton, CA 95202-1305 | 2019-05-22 |
| 1184105462 | Rachelle Diane Wilson | Counselor | 2733 N Sutter St, Stockton, CA 95204-4548 | 2018-08-24 |
| 1568943835 | Heather Lynn Rogers | Counselor | 3990 Black Butte Cir, Stockton, CA 95209-3500 | 2018-08-24 |
| 1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
| 1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
| 1760995781 | Dana Lamont Harris | Counselor | 2833 Buckner Ct, Stockton, CA 95207-2302 | 2017-11-13 |
| Find all providers in STOCKTON | ||||
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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.