MRS. SHELLY JEAN MARION SMITH (NPI# 1831626837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831626837 |
| Entity Type | Individual |
| Full Name | MRS. SHELLY JEAN MARION SMITH |
| Credential | F.N.P.-BC |
| Practice Address |
6973 Linda Vista Rd San Diego CA 92111-6342 |
| Practice Telephone | 8582790925 |
| Practice Fax Number | 8586334680 |
| Mailing Telephone | (858) 279-9676 |
| Mailing Fax Number | 8582790377 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 95006538 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95006538 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437504222 | Shelly Smith | Licensed Practical Nurse | 912 Petoskey St, Petoskey, MI 49770-2937 | 2016-04-28 |
| 1609245752 | Shelly Smith | Respite Care | 6060 N Wildhorse Dr, Prescott Valley, AZ 86314-3346 | 2015-09-18 |
| 1518365667 | Shelly Smith | Registered Nurse | 458 Linwood St, Brooklyn, NY 11208-2132 | 2014-12-05 |
| 1457630774 | Shelly R Smith | Nurse Practitioner | 9000 Rockville Pike Nih Bldg 10 Rm 3n 210, Bethesda, MD 20892-0001 | 2011-08-04 |
| 1508075854 | Shelly E Smith | Pharmacist | 10501 New Haven Rd, Harrison, OH 45030-2734 | 2007-05-22 |
| 1386719771 | Shelly Jean Smith | Social Worker | 190 Delaware St., Sandusky, MI 48471 | 2006-11-21 |
| 1417911843 | Shelly P Smith | Nurse Practitioner | 3452 Anderson Hwy, Suite D, Powhatan, VA 23139-5845 | 2006-04-13 |
| 1992275721 | Shelly Smith | Technician | 401 N Oklahoma Ave, Mangum, OK 73554-3011 | 2018-12-05 |
| 1295108504 | Shelly M Smith | Marriage & Family Therapist | 15300 Watertown Plank Rd Ste 106, Elm Grove, WI 53122-2348 | 2015-11-09 |
| 1528401171 | Shelly J Smith | Speech-Language Pathologist | 950 Office Park Rd, Suite 121, West Des Moines, IA 50265-2549 | 2013-04-14 |
| Street Address |
6973 LINDA VISTA RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-6342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487640686 | Judy Lynn Dye | Nurse Practitioner | 6973 Linda Vista Rd, San Diego, CA 92111-6339 | 2005-09-22 |
| 1568027670 | Van Ai Vo | Dental Hygienist | 6973 Linda Vista Rd, San Diego, CA 92111-6342 | 2019-05-03 |
| 1437630787 | Lauren Rose Spinelli | Social Worker | 6973 Linda Vista Rd, San Diego, CA 92111 | 2018-08-24 |
| 1124524186 | Hilary Sibilia | Nurse Practitioner | 6973 Linda Vista Rd, San Diego, CA 92111-6342 | 2018-03-30 |
| 1528595543 | Emily Bruno | Preventive Medicine | 6973 Linda Vista Rd, San Diego, CA 92111-6342 | 2017-05-22 |
| 1215489166 | Brandon Binh-yen Le | Chiropractor | 6973 Linda Vista Rd, San Diego, CA 92111 | 2016-10-26 |
| 1902350994 | Chi Quynh Hoang | Nurse Practitioner | 6973 Linda Vista Rd, San Diego, CA 92111-6342 | 2016-08-08 |
| 1639528110 | Aivi Dolan Phung | Physician Assistant | 6973 Linda Vista Rd, San Diego, CA 92111-6342 | 2016-06-06 |
| 1952785784 | Lauren Woolley | Psychologist | 6973 Linda Vista Rd, San Diego, CA 92111-6342 | 2015-07-10 |
| 1518355445 | Lesley Ivy Dorfman | Psychologist | 6973 Linda Vista Rd, San Diego, CA 92111-6342 | 2014-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203097 | Rebecca Dolores Garcia | Nurse Practitioner | 2440 Curlew St, San Diego, CA 92101-1327 | 2020-10-20 |
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1083226245 | Allison Floyd | Nurse Practitioner | 3652 Texas St, San Diego, CA 92104-4044 | 2020-08-19 |
| 1386255248 | Helen Hyeyoung Hong | Nurse Practitioner | 5140 Caminito Exquisito, San Diego, CA 92130-2852 | 2020-08-13 |
| 1134747595 | Dawn Elyse Rose | Nurse Practitioner | 8260 Mira Mesa Blvd Ste A, San Diego, CA 92126-2662 | 2020-07-10 |
| 1982232591 | John Meier | Nurse Practitioner | 3745 Riviera Dr Apt 10, San Diego, CA 92109-6661 | 2020-03-30 |
| 1013543008 | Alex Choi Mara | Nurse Practitioner | 5248 Zephyr Ln Unit 24, San Diego, CA 92120-2749 | 2020-03-21 |
| 1669005021 | Katlyn Ann Hartman | Nurse Practitioner | 1951 4th Ave, San Diego, CA 92101-2374 | 2020-02-13 |
| 1245876101 | Katherine Baber | Nurse Practitioner | 3671 Fifth Ave, San Diego, CA 92103-4218 | 2019-11-25 |
| 1922644095 | Taiko Harris | Nurse Practitioner | 13592 Bolero Way, San Diego, CA 92130-7006 | 2019-11-22 |
| Find all providers in SAN DIEGO | ||||
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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.