MADISON HANNAH SMITH


Address: 1000 W Boise Cir Fl 3, Broken Arrow, OK 74012-4900
Phone: 9189948300

MADISON HANNAH SMITH (NPI# 1891263968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891263968
Entity Type Individual
Full Name MADISON HANNAH SMITH
Credential RD, LD
Practice Address 1000 W Boise Cir Fl 3
Broken Arrow
OK 74012-4900
Mailing Address 2621 W Maine Ave
Enid
OK 73703-5140
Practice Telephone 9189948300
Mailing Telephone 7142620645
Enumeration Date 2018-11-07
Last Update Date 2018-11-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 86106643 Dietary & Nutritional Service Providers

Other Providers MADISON SMITH

NPI Name Taxonomy Address Enumeration
1225636939 Madison Smith Behavior Technician 1726 Defoor Ave Nw Unit B, Atlanta, GA 30318-7532 2020-10-14
1669097978 Madison Smith Nurse Practitioner 1220 Wythe St Apt 258, Alexandria, VA 22314-2279 2020-06-11
1619429610 Madison Claire Smith Student in an Organized Health Care Education/Training Program 30177 Pinecrest Dr., Spring Hill, KS 66083 2016-10-26
1730703992 Madison Smith Behavior Technician 1166 S Gilbert Rd, Suite 106, Gilbert, AZ 85296-3460 2020-06-03
1043850449 Madison Kirsten Smith Behavior Technician 1500 S Douglas Rd Ste 230, Coral Gables, FL 33134-4108 2020-01-14
1366080848 Madison Elizabeth Smith Social Worker 6051 N Brookline Ave Ste 112, Oklahoma City, OK 73112-4286 2019-12-16
1831656172 Madison Catherine Smith Behavior Technician 3070 Riverside Dr Ste 200, Columbus, OH 43221-2547 2019-02-22
1861969560 Madison T Smith Assistant Behavior Analyst 5300 Lennox Ave Ste 100, Bakersfield, CA 93309-1662 2018-10-31
1215455886 Madison Smith Physician Assistant 1090 Commerce Dr, Prescott, AZ 86305 2017-09-05
1245758929 Madison Smith Behavior Technician 1420 Carlisle Blvd Ne Ste 100, Albuquerque, NM 87110-5662 2017-09-01

Office Location

Street Address 1000 W BOISE CIR FL 3
City BROKEN ARROW
State OK
Zip Code 74012-4900

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154949139 Bonnie Jordan James Pharmacist 915 E Kenosha St, Broken Arrow, OK 74012 2020-07-07
1548814874 Flawless Smile Dentistry of Ba Pllc Dentist 2319 N. 9th Street, Broken Arrow, OK 74012 2019-07-25
1780236653 Carefirst Pharmacy Inc. Pharmacy 2530 N. Elm Pl., Broken Arrow, OK 74012 2019-07-11
1043871213 Stacy Lynn Mitchell Counselor 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 2019-06-27
1497319297 Sara Hart Internal Medicine 420 W. Stone Wood Drive, Broken Arrow, OK 74012 2019-04-26
1699262386 Fulps Family Eye Care, LLC Optometrist 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 2018-04-18
1598284358 Stephanie Sue Mcquarters Clinical Medical Laboratory 1840 South Lion Avenue, Broken Arrow, OK 74012 2017-09-13
1477072460 Kama Rae Gettings Nurse Practitioner 4623 W. Kenosha St, Broken Arrow, OK 74012 2017-09-12
1689196727 Kristen Sherie' Snyder Case Manager/Care Coordinator 1324 North Umbrella Avenue, Broken Arrow, OK 74012 2017-07-11
1699216754 Hillside Wellness Plllp Chiropractor 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 2017-03-09
Find all providers in zip 74012

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538794813 Xuan T Nguyen Dietitian, Registered 1906 N Aster Pl, Broken Arrow, OK 74012-1376 2020-03-07
1275178907 Lisa Greenfield Dietitian, Registered 5004 S Ironwood Ave, Broken Arrow, OK 74011-3228 2019-11-18
1477106300 Virginia Porter Trammell Dietitian, Registered 4308 W Edgewater St, Broken Arrow, OK 74012-9433 2019-07-19
1861974008 Heather Leigh Hargrave Dietitian, Registered 2800 N 23rd St Apt 2021, Broken Arrow, OK 74014-2044 2018-09-04
1073001061 Marcia Curley Dietitian, Registered 4301 W Broadway St, Broken Arrow, OK 74012-8614 2018-04-25
1245772029 Brooke Haley Mcintyre Dietitian, Registered 28149 E 97th St S, Broken Arrow, OK 74014-3413 2016-11-10
1790147700 Karla Musseman Dietitian, Registered 4507 S Ash Ave, Broken Arrow, OK 74011-3600 2016-03-28
1720486046 Lindsey Ince Dietitian, Registered 713 N Laurel Ave, Broken Arrow, OK 74012-2265 2014-12-18
1316341415 Louise Renee Walters Dietitian, Registered 1717 N 12th St, Broken Arrow, OK 74012-9394 2014-10-17
1598100695 Michcael W Lundy Dietitian, Registered 7303 S Gafford Blvd, Broken Arrow, OK 74014-2620 2013-05-02
Find all providers in BROKEN ARROW

Competitor

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City BROKEN ARROW
Zip Code 74012

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Dataset Information

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.

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