SAMANTHA SMITH (NPI# 1811380926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811380926 |
| Entity Type | Individual |
| Full Name | SAMANTHA SMITH |
| Credential | FNP-C |
| Practice Address |
101 Physicians Way Ste 111 Lebanon TN 37090 |
| Mailing Address |
101 Physicians Way Ste 111 Lebanon TN 37090-8131 |
| Practice Telephone | 6154490990 |
| Practice Fax Number | 6154494835 |
| Mailing Telephone | 6154490990 |
| Mailing Fax Number | 6154494835 |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2018-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
19639 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q016413 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717008 | Samantha Smith | Registered Nurse | 4428 Dr Thomas Walker Rd, Rose Hill, VA 24281-8382 | 2020-07-13 |
| 1417571266 | Samantha Kay Smith | Registered Nurse | 7510 Angelwing Dr, Corpus Christi, TX 78414-6081 | 2020-06-07 |
| 1548742398 | Samantha Blaire Smith | Specialist/Technologist | 1946 Tennyson Ave Ne, Massillon, OH 44646-2600 | 2018-08-29 |
| 1831683267 | Samantha Smith | Physical Therapy Assistant | 334 Crandall Way, Spartanburg, SC 29301-5372 | 2018-06-19 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1912366246 | Samantha Michelle Smith | Specialist/Technologist | 2305 Milan Rd, Sandusky, OH 44870-4997 | 2016-02-15 |
| 1972977338 | Samantha Marie Smith | Nurse Practitioner | 9219 Cypresswood Cir, Tampa, FL 33647-2431 | 2015-11-23 |
| 1679974463 | Samantha Brittany Smith | Audiologist | 5673 Peachtree Dunwoody Rd Ste 150, Atlanta, GA 30342-1771 | 2014-09-11 |
| 1386991586 | Samantha Paige Smith | Case Manager/Care Coordinator | 902 S. Myrtle Ave., Monrovia, CA 91016 | 2012-08-07 |
| 1508133216 | Samantha Stanfield Smith | Physical Therapist | 3355 Saxony Gln, Marietta, GA 30066-4797 | 2011-11-23 |
| Street Address |
101 PHYSICIANS WAY STE 111 |
| City | LEBANON |
| State | TN |
| Zip Code | 37090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376926840 | Kathryn Mccloud | Physical Therapist | 163 Business Park Drive, Lebanon, TN 37090 | 2015-07-02 |
| 1760575831 | Ronald Scott Forczek | Respiratory Therapist, Certified | 8265 Trousdale Ferry Pike, Lebanon, TN 37090 | 2006-10-02 |
| 1649271206 | Roy C. Terry | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-04 |
| 1679570345 | Rhoda S Powers | Nurse Practitioner | 100 Physicians Way, Lebanon, TN 37090 | 2005-07-07 |
| 1285103689 | Jessica A Barron | Dermatology | 107 Glidepath Way, Lebanon, TN 37090 | 2018-11-15 |
| 1811109614 | Susan Anissa Hatcher | Occupational Therapy Assistant | 2215 Callis Rd, Lebanon, TN 37090 | 2007-05-04 |
| 1558386771 | Andre C Olivier | Internal Medicine | 100 Physicians Way, Suite 300, Lebanon, TN 37090 | 2006-07-12 |
| 1326030156 | Tennessee Orthopedics, P.C. | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-18 |
| 1154686673 | Stephanie Ruckman | Nurse Practitioner | 115 Moriah Dr, Lebanon, TN 37090-0731 | 2012-07-10 |
| 1801939798 | Prospect, Inc. | In Home Supportive Care | 960 Maddox Simpson Pkwy, Lebanon, TN 37090-0751 | 2007-02-14 |
| Find all providers in zip 37090 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912170 | Kaley Elizabeth Barrett | Nurse Practitioner | 418 Edgewood Dr, Lebanon, PA 17042-9109 | 2020-11-04 |
| 1932716420 | Jessica Erb | Nurse Practitioner | 804 Holly Ln, Lebanon, PA 17042-9028 | 2020-09-28 |
| 1922619527 | Tammy Lynn Whitt | Nurse Practitioner | 961 Poor Farm Rd, Lebanon, VA 24266-7097 | 2020-08-17 |
| 1538777529 | Shenia Diane Johnson | Nurse Practitioner | 71 S. Flannagan Ave., Lebanon, VA 24266-2426 | 2020-07-16 |
| 1275158164 | Kelly Mcdaniel | Nurse Practitioner | 288 Rolling Meadows Rd, Lebanon, VA 24266-5870 | 2020-06-16 |
| 1609498955 | Kelsey Jones | Nurse Practitioner | 1412 Nathaniel Dr, Lebanon, MO 65536-8906 | 2020-05-09 |
| 1124657887 | Shelly Prather | Nurse Practitioner | 350 Wheeler St, Lebanon, OR 97355-4349 | 2020-04-05 |
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1821642430 | Jill Montgomery Major | Nurse Practitioner | 135 Knights Brg, Lebanon, TN 37090-1410 | 2019-07-31 |
| Find all providers in LEBANON | ||||
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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.