ROBERT G SMITH (NPI# 1891745428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891745428 |
| Entity Type | Individual |
| Full Name | ROBERT G SMITH |
| Credential | FNP |
| Practice Address |
3306 Renner Dr Fortuna CA 95540-3120 |
| Mailing Address |
Po Box 993 Ferndale CA 95536-0993 |
| Practice Telephone | 7077256101 |
| Practice Fax Number | 7077252978 |
| Mailing Telephone | 7077869170 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163W00000X | Registered Nurse | RN238330 | CA | Nursing Service Providers |
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
FNP877 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | MS0516039 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669088175 | Robert D Smith | Driver | 7400 Timbercrest Dr, Godfrey, IL 62035-2894 | 2020-09-20 |
| 1104430552 | Robert Nathan Smith | Student in an Organized Health Care Education/Training Program | 50 Don Martin Rd, Perkinston, MS 39573-5919 | 2020-09-03 |
| 1467087767 | Robert Smith Iv | Non-emergency Medical Transport (VAN) | 1710 Santa Maria Pl, Orlando, FL 32806-1446 | 2020-03-06 |
| 1336790310 | Robert J Smith | Counselor | 2544 W Irving Park Rd Apt 1e, Chicago, IL 60618-3752 | 2019-09-22 |
| 1841758653 | Robert B Smith Jr. | Counselor | 2830 228th Ave Se Ste C, Sammamish, WA 98075-9300 | 2019-03-11 |
| 1497234660 | Robert Lewis Smith | Nuclear Medicine | 11398 Morton Rd, Keithville, LA 71047-6529 | 2018-08-08 |
| 1760978282 | Robert R Smith | Psychologist | 159 Tall Oaks Dr Unit H, Weymouth, MA 02190-3552 | 2018-07-09 |
| 1992298392 | Robert Brandon Smith | Physical Therapist | 1320 Oakfield Dr, Brandon, FL 33511-4860 | 2018-06-11 |
| 1447740808 | Robert G. Smith | Music Therapist | 2175 Hopkins Ln, Easton, PA 18040-8047 | 2018-05-11 |
| 1477050516 | Robert Stanley Smith | Behavioral Analyst | 20 Deerfield Ln, Eastham, MA 02642-2250 | 2018-04-06 |
| Street Address |
3306 RENNER DR |
| City | FORTUNA |
| State | CA |
| Zip Code | 95540-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134179377 | Humboldt Medical Group | Family Medicine | 3306 Renner Dr, Fortuna, CA 95540-3120 | 2006-05-10 |
| 1669093712 | Humboldt County Behavioral Health | Community/Behavioral Health | 3306 Renner Dr, Fortuna, CA 95540-3120 | 2020-04-29 |
| 1316447808 | Christy Rae Bascochea | Registered Nurse | 3306 Renner Dr, Fortuna, CA 95540-3120 | 2018-02-20 |
| 1740708874 | Nicole T. Walters | Registered Nurse | 3306 Renner Dr, Fortuna, CA 95540-3120 | 2017-09-08 |
| 1215487947 | Pamela Jean Russ | Registered Nurse | 3306 Renner Dr, Fortuna, CA 95540-3120 | 2016-10-05 |
| 1619360963 | Judy Gallagher | Registered Nurse | 3306 Renner Dr, Fortuna, CA 95540-3120 | 2015-03-11 |
| 1508202821 | Margarette Jeannette Shegog | Family Medicine | 3306 Renner Dr, Fortuna, CA 95540 | 2013-05-14 |
| 1063746287 | Angela Noelle Murray | Physician Assistant | 3306 Renner Dr, Fortuna, CA 95540-3120 | 2009-09-21 |
| 1023183969 | Maureen B Frank | Nurse Practitioner | 3306 Renner Dr, Fortuna, CA 95540-3120 | 2006-11-22 |
| 1790735223 | Rodney Blaine Grover | Family Medicine | 3306 Renner Dr, Fortuna, CA 95540-3120 | 2006-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234787 | Remi Vista, Inc. | Community/Behavioral Health | 3000 Newburg, Fortuna, CA 95540 | 2020-01-21 |
| 1144867474 | Paula-marie Schneider | Registered Nurse | 3750 Rohnerville Rd., Fortuna, CA 95540 | 2019-12-05 |
| 1609265537 | Nancy Stinson Lollich | Physical Therapy Assistant | 2321 Newburg Road, Fortuna Rehabilitation and Wellness, Fortuna, CA 95540 | 2015-01-15 |
| 1730438151 | Heber House Inc. Dba Dermatology Center | Dermatology | 2404 Newburg Rd., Fortuna, CA 95540 | 2012-08-30 |
| 1104173418 | Michelle Leigh Hoopes | Physician Assistant | 3304 Renner Dr Suite B, Fortuna, CA 95540 | 2012-08-07 |
| 1205181526 | Constance Mitchell | Registered Nurse | Redwood Pediatrics, 3305 Renner Dr, Fortuna, CA 95540 | 2012-07-24 |
| 1730457177 | Joy Nadine Frasier | Counselor | 220 Wilson Ln., Fortuna, CA 95540 | 2011-12-13 |
| 1063791713 | Gardenside Eldercare, LLC | Residential Treatment Facility, Physical Disabilities | 529 9th Street, Fortuna, CA 95540 | 2011-08-12 |
| 1093025173 | Sheri A Jewett | Massage Therapist | 2655 Virginia Court, Fortuna, CA 95540 | 2010-10-07 |
| 1134371339 | Mariana Van Der Merwe | Pharmacist | 725 South Boulevard, Rite Aid Pharmacy, Fortuna, CA 95540 | 2008-10-21 |
| Find all providers in zip 95540 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144867474 | Paula-marie Schneider | Registered Nurse | 3750 Rohnerville Rd., Fortuna, CA 95540 | 2019-12-05 |
| 1205181526 | Constance Mitchell | Registered Nurse | Redwood Pediatrics, 3305 Renner Dr, Fortuna, CA 95540 | 2012-07-24 |
| 1275826273 | Dalbir Kaur Sohal | Registered Nurse | 3304 Renner Driver, Fortuna, CA 95540-3120 | 2011-05-24 |
| 1841854395 | Patricia Dillon | Registered Nurse | 3750 Rohnerville Road, Fortuna, CA 95540 | 2019-04-30 |
| 1649735671 | Colleen Sanders Alford | Registered Nurse | 3750 Rohnerville Road, Fortuna, CA 95540 | 2019-02-04 |
| 1538630876 | Natasha L. Zabinski | Registered Nurse | 3750 Rohnerville Road, Fortuna, CA 95540 | 2018-12-16 |
| 1316447808 | Christy Rae Bascochea | Registered Nurse | 3306 Renner Dr, Fortuna, CA 95540-3120 | 2018-02-20 |
| 1740708874 | Nicole T. Walters | Registered Nurse | 3306 Renner Dr, Fortuna, CA 95540-3120 | 2017-09-08 |
| 1215487947 | Pamela Jean Russ | Registered Nurse | 3306 Renner Dr, Fortuna, CA 95540-3120 | 2016-10-05 |
| 1134586407 | Mark Mowrey | Registered Nurse | 3304 Renner Dr, Fortuna, CA 95540-7102 | 2016-01-18 |
| Find all providers in FORTUNA | ||||
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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.