JULIA ANN SMITH (NPI# 1801335336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801335336 |
| Entity Type | Individual |
| Full Name | JULIA ANN SMITH |
| Practice Address |
811 W Broadway Ave Medford WI 54451-1307 |
| Mailing Address |
244 E 2nd Ave Stanley WI 54768-1210 |
| Practice Telephone | 7157485580 |
| Mailing Telephone | 7157030035 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
7543-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
7543-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WISCONSIN ADVANCED PRACTICE NURSE PRESCRIBER | 7543-33 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251320 | Julia M. E. Smith | Massage Therapist | 144 Cypress Way E Unit 702, Naples, FL 34110-9232 | 2020-09-24 |
| 1205487436 | Julia Smith | Prosthetist | 625 Eastern Blvd, Clarksville, IN 47129-2453 | 2019-09-29 |
| 1518510254 | Julia Smith | Marriage & Family Therapist | 9414 W Lake Mead Blvd # 218, Las Vegas, NV 89134-8312 | 2019-07-22 |
| 1861057630 | Julia Faithe Smith | Licensed Vocational Nurse | 302 Dober St, Nolanville, TX 76559-9767 | 2019-05-07 |
| 1255804969 | Julia M Smith | Student in an Organized Health Care Education/Training Program | 324 Baxter St, Elida, OH 45807-1007 | 2019-01-04 |
| 1407336258 | Julia Rose Smith | Speech-Language Pathologist | 700 South, Us-6, Gretna, NE 68028 | 2018-08-20 |
| 1831688654 | Julia Smith | Physician Assistant | 2745 Loganville Hwy, Loganville, GA 30052 | 2018-05-07 |
| 1205350568 | Julia Smith | Physical Therapist | 5900 Fort Dr Ste 208, Centreville, VA 20121-2425 | 2017-07-28 |
| 1487050407 | Julia Lavette Smith | Registered Nurse | 1121 Atkinson St, Detroit, MI 48202-1521 | 2014-11-19 |
| 1578970331 | Julia Elizabeth Smith | Counselor | 2117 Hillcrest St, Fort Worth, TX 76107-4329 | 2014-07-14 |
| Street Address |
811 W BROADWAY AVE |
| City | MEDFORD |
| State | WI |
| Zip Code | 54451-1307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467447995 | Stephen E Dreier | Chiropractor | 811 W Broadway Ave, Medford, WI 54451-1307 | 2005-09-12 |
| 1558734251 | Wildberg Chiropractic Office Sc | Chiropractor | 811 W Broadway Ave, Medford, WI 54451-1307 | 2015-11-04 |
| 1528086311 | Bradley Dale Wildberg | Chiropractor | 811 W Broadway Ave, Medford, WI 54451-1307 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536321 | Bone & Joint Clinic S.c. | Durable Medical Equipment & Medical Supplies | 724 S. 8th St, Medford, WI 54451 | 2019-09-06 |
| 1215474671 | Heidi Marie Nernberger | Dental Hygienist | 124 S. Main Street, Medford, WI 54451 | 2017-01-24 |
| 1497152656 | Rachel E Nichols | Dental Hygienist | 124 South Main St, Medford, WI 54451 | 2014-12-03 |
| 1811305360 | Amanda Mosse | Social Worker | 10649 W Perkinstown Ave, Medford, WI 54451 | 2014-07-29 |
| 1891081113 | Debra Jeanne Zenner | Nurse Practitioner | 143 South Gibson St., Medford, WI 54451 | 2011-06-24 |
| 1033445036 | Greg George Schoofs II | Ophthalmology | N 4803 Wigwam Ave, Medford, WI 54451 | 2009-10-26 |
| 1558511295 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 111 S Gibson St, Medford, WI 54451 | 2008-09-30 |
| 1013132430 | Aspirus Medford Hospital & Clinics, Inc. | Pharmacy | 139 S Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1356566707 | Peter G Kiefer | Pharmacist | 139 South Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1851426753 | Steven Todd Dietzman | Specialist/Technologist | 103 South Gibson Street, Medford, WI 54451 | 2007-02-22 |
| Find all providers in zip 54451 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487216743 | Lisa Susan Williams | Nurse Practitioner | 76 Southaven Ave Ste 5, Medford, NY 11763-3745 | 2019-07-07 |
| 1003839424 | Christine Ann Stanek | Nurse Practitioner | 2859 State Street, Suite 101, Medford, OR 97504 | 2006-07-26 |
| 1114997244 | Eileen Weldon Stiles | Nurse Practitioner | 520 Medical Center Drive, Suite 201, Medford, OR 97504-4434 | 2006-01-23 |
| 1134129133 | Barbara Anne Stewart | Nurse Practitioner | 2960 Doctors Park Dr, Medford, OR 97504-8127 | 2005-08-01 |
| 1295391985 | Kag Professional Nurse Practioner In Adult Health Pllc | Nurse Practitioner | 3115 Horseblock Rd, Medford, NY 11763-2526 | 2019-05-17 |
| 1013458405 | Elysian Health | Nurse Practitioner | 835 Crater Lake Ave, Medford, OR 97504-6505 | 2017-03-17 |
| 1528506334 | Rebecca Rampton | Nurse Practitioner | 3617 S Pacific Hwy, Medford, OR 97501-8957 | 2017-02-01 |
| 1700238623 | Courtney Nicholas | Nurse Practitioner | 1723 N Ocean Ave, Medford, NY 11763-2687 | 2016-07-02 |
| 1871983353 | Nancy Obispo | Nurse Practitioner | 555 Black Oak Drive, Suite 300, Medford, OR 97504-8491 | 2015-02-04 |
| 1881006997 | Erin Marie Dittmer | Nurse Practitioner | 920 Royal Ave, Medford, OR 97504-6169 | 2014-05-22 |
| Find all providers in MEDFORD | ||||
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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.