SUSAN SMITH (NPI# 1871137844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871137844 |
| Entity Type | Individual |
| Full Name | SUSAN SMITH |
| Credential | CRNP |
| Practice Address |
6321 Piccadilly Square Dr Ste A Mobile AL 36609-5305 |
| Mailing Address |
7030 Cloverleaf Landing Rd Bay Minette AL 36507-5733 |
| Practice Telephone | 2513428900 |
| Mailing Telephone | 2517212933 |
| Enumeration Date | 2019-11-03 |
| Last Update Date | 2019-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 1-136348 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407347297 | Susan Banuelos Smith | Dietitian, Registered | 3801 W 15th St Ste 214, Plano, TX 75075 | 2018-05-29 |
| 1447751870 | Susan Allen Smith | Registered Nurse | 1210 Terrace Dr, Mesquite, TX 75150-4284 | 2018-02-21 |
| 1326585407 | Susan A Smith | Nutritionist | 1114 Hidden Spring Dr, Naperville, IL 60540-4112 | 2017-01-26 |
| 1588115067 | Susan Smith | Counselor | 8491 N. Lake Blvd., Kings Beach, CA 96143 | 2016-10-19 |
| 1508316712 | Susan Taylor Smith | Speech-Language Pathologist | 120 Brundage Ter, Hot Springs, AR 71913-9348 | 2016-10-12 |
| 1326595075 | Susan Smith | Physical Therapist | 1115 E Hampton Dr, Pearland, TX 77584-7620 | 2016-09-09 |
| 1740656115 | Susan Smith | Counselor | 108089 S 4670 Rd, Sallisaw, OK 74955-8587 | 2015-08-19 |
| 1902282734 | Susan Smith | Physical Therapist | 4 Carville Ave, Lexington, MA 02421-6212 | 2015-08-04 |
| 1790173110 | Susan Smith | Speech-Language Pathologist | 301 Haig Dr, Wilmington, NC 28412-7134 | 2015-01-07 |
| 1598180218 | Susan Smith I | Counselor | 2819 Teasdale Dr, Troy, MI 48083-2657 | 2014-03-04 |
| Street Address |
6321 PICCADILLY SQUARE DR STE A |
| City | MOBILE |
| State | AL |
| Zip Code | 36609-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720305030 | Sonia Singh Grevenitis | Pediatrics | 6321 Piccadilly Square Dr Ste A, Mobile, AL 36609-5305 | 2010-04-26 |
| 1902352180 | Mobile Pediatric Clinic LLC | Specialist | 6321 Piccadilly Square Dr Ste A, Mobile, AL 36609-5305 | 2016-08-29 |
| 1104240324 | Mobile Pediatric Clinic LLC | Pediatrics | 6321 Piccadilly Square Dr Ste A, Mobile, AL 36609-5305 | 2014-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698309 | Bhg Lxxii, LLC | Clinic/Center | 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 | 2020-10-26 |
| 1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
| 1982267241 | Raqueal L. Williams | Registered Nurse | 406 Larose Dr., Mobile, AL 36609 | 2019-04-22 |
| 1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1912420126 | Rural Urgent Care LLC | Clinic/Center | 6280 Grelot Road, Mobile, AL 36609 | 2017-07-19 |
| 1598128407 | Trisha Mcmillon | Counselor | 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 | 2016-03-30 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1386913374 | Janis Marie Fausser | Pharmacist | 5705 Cottagehill Rd, Mobile, AL 36609 | 2011-12-20 |
| 1245524263 | Emily Chisholm | Physical Therapist | 1515 University Blvd. S., Mobile, AL 36609 | 2011-06-07 |
| Find all providers in zip 36609 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367107 | Tera Walters Therapy LLC | Pediatrics | 2523 D'iberville Drive North, Mobile, AL 36695 | 2018-12-12 |
| 1629573928 | Kaitlyn Brown Parker | Pediatrics | 2451 Usa Medical Center Dr Rm 714, Mobile, AL 36617-2300 | 2018-03-28 |
| 1881149557 | Child Behavioral Resources LLC | Pediatrics | 6304 Piccadilly Square Dr Ste 3, Mobile, AL 36609-5143 | 2016-08-23 |
| 1013327097 | Charlotte Steelman Macdonell | Pediatrics | 1601 Center St Ste 1n, Mobile, AL 36604-1541 | 2014-04-30 |
| 1912271834 | Mobile Pediatric Clinic LLC | Pediatrics | 1835 Old Shell Rd, Mobile, AL 36607-3416 | 2012-02-24 |
| 1194011288 | Gulf Coast Pediatrics, LLC | Pediatrics | 5675 Three Notch Rd Ste C, Mobile, AL 36619-1617 | 2011-06-27 |
| 1376833319 | Nina Sheree Ford Johnson | Pediatrics | 4013c Airport Blvd, Mobile, AL 36608-2201 | 2011-04-11 |
| 1720305030 | Sonia Singh Grevenitis | Pediatrics | 6321 Piccadilly Square Dr Ste A, Mobile, AL 36609-5305 | 2010-04-26 |
| 1164746806 | Jennifer Gremse Adair | Pediatrics | 3920 Airport Blvd., Mobile, AL 36608-1622 | 2010-03-24 |
| 1538366190 | Nancy Oppenheimer Wood | Pediatrics | 610 Providence Park Dr E Ste 201, Mobile, AL 36695-4615 | 2007-06-28 |
| Find all providers in MOBILE | ||||
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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.