DIANE M SMITH (NPI# 1902053143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902053143 |
| Entity Type | Individual |
| Full Name | DIANE M SMITH |
| Credential | NP |
| Practice Address |
4121 King Rd Sylvania OH 43560-4438 |
| Practice Telephone | 4195178200 |
| Practice Fax Number | 4195178201 |
| Mailing Telephone | 4195178200 |
| Mailing Fax Number | 4195178201 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2015-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 10173-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | RN256710 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
10173NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2935659 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366008948 | Diane L Smith | Counselor | 1697 Clover Ridge Dr, Howell, MI 48843-8081 | 2019-05-19 |
| 1942765730 | Diane Clark Smith | Marriage & Family Therapist | 428 Los Verdes Dr, Santa Barbara, CA 93111-1506 | 2019-02-05 |
| 1497143135 | Diane Mary Smith | Counselor | 1759 Palomino Dr, Warrington, PA 18976-2243 | 2015-01-05 |
| 1942604350 | Diane Smith | Occupational Therapist | 5188 Bella Collina St, Oceanside, CA 92056-1908 | 2014-10-14 |
| 1114340734 | Diane Marie Smith | Licensed Practical Nurse | 7720 S Boyden Rd, Sagamore Hills, OH 44067-2431 | 2014-02-03 |
| 1417214438 | Diane Ruth Smith | Midwife | 22 Gateview Dr, Fallbrook, CA 92028-9232 | 2012-04-16 |
| 1760755953 | Diane Katherine Smith | Chiropractor | 8977 Comstock Ln N, Maple Grove, MN 55311-1521 | 2012-02-17 |
| 1265720676 | Diane Felton Smith | Private Vehicle | 206 N Lake Dr, Apt.601, Warner Robins, GA 31093-1691 | 2011-07-19 |
| 1841502804 | Diane Jean Smith | Nurse Practitioner | 280 Melrose St., Name: Concentra, Providence, RI 02901 | 2010-07-07 |
| 1578893905 | Diane Smith | Developmental Therapist | 15 Beech St, Farmingdale, ME 04344-1603 | 2010-01-07 |
| Street Address |
4121 KING RD |
| City | SYLVANIA |
| State | OH |
| Zip Code | 43560-4438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477540649 | Kingston Care Center of Sylvania, LLC | Skilled Nursing Facility | 4121 King Rd, Sylvania, OH 43560-4438 | 2005-10-04 |
| 1588284129 | Shenae Kramer | Physical Medicine & Rehabilitation | 4121 King Rd, Sylvania, OH 43560-4438 | 2020-04-23 |
| 1851953947 | Sara Elizabeth Bean | Licensed Practical Nurse | 4121 King Rd, Sylvania, OH 43560-4438 | 2019-06-28 |
| 1548728264 | Allison Gineman | Occupational Therapist | 4121 King Rd, Sylvania, OH 43560-4438 | 2019-03-12 |
| 1538637954 | Jacquelyn Ann Olzak | Speech-Language Pathologist | 4121 King Rd, Sylvania, OH 43560-4438 | 2018-11-03 |
| 1548735004 | Jordyn Schaafsma | Occupational Therapist | 4121 King Rd, Sylvania, OH 43560-4438 | 2018-10-10 |
| 1124593785 | Erin Blackledge | Speech-Language Pathologist | 4121 King Rd, Sylvania, OH 43560-4438 | 2018-10-10 |
| 1154845113 | Lauren E Pfahler | Occupational Therapist | 4121 King Rd, Sylvania, OH 43560-4438 | 2017-08-01 |
| 1073041059 | Colton Rhinebolt | Physical Therapist | 4121 King Rd, Sylvania, OH 43560-4438 | 2017-06-02 |
| 1780112375 | Richelle Louise Gray | Occupational Therapist | 4121 King Rd, Sylvania, OH 43560-4438 | 2017-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332732 | Jonelyn Hutchinson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5628 Fox Hollow Ct, Sylvania, OH 43560 | 2020-10-07 |
| 1285190611 | Karen Marie Mccartney | Occupational Therapy Assistant | Charter of Oak, 6805 Sylvania, Sylvainia, OH 43560 | 2019-02-11 |
| 1063936136 | Christina Cousino | Family Medicine | 7228 Ridgeland Rd, Sylvania, OH 43560 | 2017-08-01 |
| 1053858159 | Scott Campbell | Counselor | 5808 Monroe St Suite A2, Sylvania, OH 43560 | 2017-01-26 |
| 1932658549 | Trilogy Healthcare of Sylvania LLC | Skilled Nursing Facility | 5351 Mitchaw Road, Sylvania, OH 43560 | 2016-09-23 |
| 1730546300 | Ashley Lynn Sendelbach | Speech-Language Pathologist | 4747 N. Holland Sylvania Rd., Sylvania, OH 43560 | 2016-01-27 |
| 1881078533 | Khader Mustafa | Internal Medicine | 5700 Monroe St Unit 202, Sylvania, OH 43560 | 2015-07-13 |
| 1013391903 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2631 Davidson Drive, Toledo, OH 43560 | 2015-07-10 |
| 1104212596 | Emily Elyse Miller | Speech-Language Pathologist | 4121 King Road, Maumee, OH 43560 | 2015-04-13 |
| 1750706404 | Victoria Davis | Speech-Language Pathologist | 7962 Millford, Sylvania, OH 43560 | 2014-03-04 |
| Find all providers in zip 43560 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386959195 | Deborah Faye Dugan | Nurse Practitioner | 6506 Country Pl, Sylvania, OH 43560-1252 | 2010-08-17 |
| 1184161317 | Jennifer Grant | Nurse Practitioner | 5855 Monroe St, Sylvania, OH 43560 | 2017-01-26 |
| 1740635465 | Molly Elizabeth Silveus | Nurse Practitioner | 7135 Sylvania Ave, Suite 2a, Sylvania, OH 43560-5510 | 2016-05-02 |
| 1568740454 | Amber Rychener | Nurse Practitioner | 5700 Monroe St, Suite 303, Sylvania, OH 43560-2767 | 2011-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394235 | Lisa Ann Popovich | Nurse Practitioner | 3703 Canon Ridge Pl, Columbus, OH 43230-4010 | 2020-10-17 |
| 1598362402 | Kate Suzanne Mccombs | Nurse Practitioner | 6681 Ridge Rd Ste 30, Parma, OH 44129-5705 | 2020-10-04 |
| 1013523745 | Yangyang Hu | Nurse Practitioner | 2042 Golden Oaks Dr, Kent, OH 44240-8198 | 2020-09-17 |
| 1659982494 | Lauren Rainey | Nurse Practitioner | 70 N Hillside Rd, Canfield, OH 44406-1335 | 2020-08-14 |
| 1932710928 | Bobbie Duda | Nurse Practitioner | 6454 Paine Rd, Painesville, OH 44077-9318 | 2020-08-12 |
| 1235756461 | Sara Mauk | Nurse Practitioner | 6780 Mayfield Rd Rm 323, Mayfield Heights, OH 44124-2203 | 2020-07-04 |
| 1629694153 | Laraine Elizabeth Tench | Nurse Practitioner | 9500 Euclid Ave # G110, Cleveland, OH 44195-0001 | 2020-06-20 |
| 1316563109 | Isabelle Noffsinger | Nurse Practitioner | 6443 Far Hills Ave, Washington Township, OH 45459-2725 | 2020-06-17 |
| 1497375604 | Allison Ferguson | Nurse Practitioner | 3641 Shepherd St Nw, North Canton, OH 44720-7949 | 2020-04-17 |
| 1154940708 | Elizabeth Clare Gaydosh | Nurse Practitioner | 4680 Autumn Run Dr, Medina, OH 44256-8821 | 2020-04-14 |
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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.