STACIE JEAN SMITH (NPI# 1821581158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821581158 |
| Entity Type | Individual |
| Full Name | STACIE JEAN SMITH |
| Credential | ARNP |
| Practice Address |
12100 Kain Rd Glen Allen VA 23059-5717 |
| Mailing Address |
671 Hioaks Rd Ste B Richmond VA 23225-4072 |
| Practice Telephone | 3029438570 |
| Mailing Telephone | 8042725814 |
| Mailing Fax Number | 8045600232 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0024176175 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336779602 | Stacie June Marie Smith | Developmental Therapist | 3046 N Kenmore Ave, Chicago, IL 60657-9094 | 2020-01-24 |
| 1295386779 | Stacie Miriam Smith | Technician | 3 Woewassa Ln, Farmington, CT 06032-1038 | 2019-09-25 |
| 1477981629 | Stacie Anne Smith | Social Worker | 1129 Airport Rd, Milford, DE 19963-6418 | 2013-10-25 |
| 1619128360 | Stacie Renee Smith | Physician Assistant | 47 Hwy 64 W, Beebe, AR 72012-9500 | 2008-09-30 |
| 1487801809 | Stacie Felicia Smith | Counselor | 119 N Mcdonough St, Decatur, GA 30030-3300 | 2008-08-27 |
| 1043330111 | Stacie Cunningham Smith | Speech-Language Pathologist | 2469 Woodfield Circle, Lexington, KY 40515 | 2007-03-30 |
| 1437129699 | Stacie Smith | Speech-Language Pathologist | 1403 Autumnmist Dr, Allen, TX 75002-4970 | 2006-01-23 |
| 1083244107 | Stacie Smith | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-01-16 |
| 1174034755 | Stacie Smith | Massage Therapist | 10950 Farmington Rd, Livonia, MI 48150-2753 | 2017-10-23 |
| 1639605603 | Stacie Lynn Smith | Pharmacist | 43418 State Highway 74, Hemet, CA 92544-5219 | 2017-05-11 |
| Street Address |
12100 KAIN RD |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23059-5717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422163 | Kusum Bhetwal | Nurse Practitioner | 12804 Westin Estates Drive, Glen Allen, VA 23059 | 2020-09-23 |
| 1538704770 | Rise Services LLC | Community/Behavioral Health | 11357 Nuckois Road, Suite 2043, Glen Allen, VA 23059 | 2019-11-12 |
| 1992347116 | Irene Anne Mcgovern | Technician | 5233 Eastbranch Dr, Glen Allen, VA 23059 | 2019-10-09 |
| 1427547322 | Sharon Ann Lott | Audiologist | Short Pump Middle School, 4701 Pouncey Tract Road, Glen Allen, VA 23059 | 2018-05-07 |
| 1518476423 | Thomas Joseph Stein | Pharmacist | 4912 Old Millrace Place, Glen Allen, VA 23059 | 2017-09-22 |
| 1033638440 | Caroline Taylor | Specialist/Technologist | 5143 Dorin Hill Ct., Glen Allen, VA 23059 | 2017-09-18 |
| 1003335167 | Rva Transport, Inc. | Non-emergency Medical Transport (VAN) | 830 Brassie Ln, Apt F, Glen Allen, VA 23059 | 2017-09-10 |
| 1639628407 | Jessica Jasmine Green | Nurse Practitioner | 4687 Poucey Tract Road, Glen Allen, VA 23059 | 2016-09-22 |
| 1255512760 | Peggy Ellen York | Psychologist | 13314 Greenwood Rd, Glen Allen, VA 23059 | 2007-11-27 |
| 1689795940 | Kim Blassic | Dentist | 5225 Hickory Park Dr., Suite D, Glen Allen, VA 23059 | 2007-04-03 |
| Find all providers in zip 23059 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940165 | Leslie Kelley | Nurse Practitioner | 9417 Willow Ridge Dr, Glen Allen, VA 23060-3293 | 2020-01-06 |
| 1639668395 | Arielle Choudry | Nurse Practitioner | 11400 Scotsglen Ct, Glen Allen, VA 23059-5534 | 2018-05-08 |
| 1972748135 | Judith Ann Dellaripa | Nurse Practitioner | 4121 Cox Rd, Glen Allen, VA 23060-3317 | 2008-12-02 |
| 1902856776 | Amy Lynn Cavanagh | Nurse Practitioner | 5201 Hickory Park Dr Ste A, Glen Allen, VA 23059-2623 | 2006-05-11 |
| 1477543387 | Shelley B. Woodley | Nurse Practitioner | 5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059-2624 | 2005-10-24 |
| 1093377897 | Carter Hunter | Nurse Practitioner | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2019-07-01 |
| 1922663715 | Valerie Denise Upshaw Rowlett | Nurse Practitioner | 11551 Nuckols Rd Ste C, Glen Allen, VA 23059-5565 | 2019-05-07 |
| 1275829673 | Allison B Trevillian | Nurse Practitioner | 5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059-2624 | 2011-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445846 | Stephanie Leann Ball | Nurse Practitioner | 655 Belfast School Rd, Cedar Bluff, VA 24609-8217 | 2020-10-24 |
| 1548867526 | Pamela Jean Scholl | Nurse Practitioner | 3704 Aquia Dr, Stafford, VA 22554-2705 | 2020-10-02 |
| 1356948483 | Dawn Aimee Fisher | Nurse Practitioner | 2187 Hunters Lodge Rd, Troy, VA 22974-4344 | 2020-10-01 |
| 1952918880 | Amesha Renee Custis | Nurse Practitioner | 2647 Jason Ave, Norfolk, VA 23509-1073 | 2020-09-24 |
| 1790390938 | Premier Healthcare Service, LLC | Nurse Practitioner | 1015 Eden Way N Ste A, Chesapeake, VA 23320-2787 | 2020-09-14 |
| 1871108233 | Ricky Brockington | Nurse Practitioner | 19124 Lakeside Dr, Courtland, VA 23837-2634 | 2020-09-12 |
| 1578178422 | Behishta Ishanzai | Nurse Practitioner | 7500 Geoint Dr, Springfield, VA 22150-7500 | 2020-09-08 |
| 1467066795 | Colleen Marie Gleason | Nurse Practitioner | 2522 S Arlington Mill Dr Apt D, Arlington, VA 22206-4033 | 2020-09-03 |
| 1639782659 | Wendy Renee Easter | Nurse Practitioner | 20720 Cross Timber Dr, Ashburn, VA 20147-4470 | 2020-08-28 |
| 1558974105 | Crystal Hermano | Nurse Practitioner | 5522 Swift Current Ct, Burke, VA 22015-1851 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ALLEN |
| Zip Code | 23059 |
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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.