JULIE SMITS (NPI# 1902151277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902151277 |
Entity Type | Individual |
Full Name | JULIE SMITS |
Other Name | JULIE LICATA |
Credential | NP |
Practice Address |
6109 W Ramsey St Banning CA 92220-3051 |
Mailing Address |
236 Cajon St. Suite D Redlands CA 92373 |
Practice Telephone | 9518450313 |
Mailing Telephone | 8443604264 |
Enumeration Date | 2012-07-23 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 824569 | CA | Nursing Service Providers |
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
NP95008505 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDI-CAL | 33-0150193 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
11234 Anderson St, Loma Linda, CA 923542804 | 7145588000 | |
415 N Sycamore St, Santa Ana, CA 927014607 | 7148365447 | 7148361855 |
Street Address |
6109 W RAMSEY ST |
City | BANNING |
State | CA |
Zip Code | 92220-3051 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952305294 | Steven W Hildebrand | Internal Medicine | 6109 W Ramsey St, Banning, CA 92220-3051 | 2005-06-01 |
1134609415 | Carri Ranie Lakes | Registered Nurse | 6109 W Ramsey St, Banning, CA 92220-3051 | 2018-08-16 |
1316331838 | Yi Heng | Registered Nurse | 6109 W Ramsey St, Banning, CA 92220-3051 | 2015-03-23 |
1316365521 | Brandon Decaluwe | Ophthalmology | 6109 W Ramsey St, Banning, CA 92220-3051 | 2014-04-03 |
1962834499 | Stephanie Salazar | Nurse Practitioner | 6109 W Ramsey St, Banning, CA 92220-3051 | 2013-08-07 |
1326356908 | Kelly Marie Stormes | Nurse Practitioner | 6109 W Ramsey St, Banning, CA 92220-3051 | 2010-09-17 |
1801129341 | Kaunteya Reddy | Internal Medicine | 6109 W Ramsey St, Banning, CA 92220-3051 | 2009-09-16 |
1487896783 | Craig Andre Seheult | Internal Medicine | 6109 W Ramsey St, Banning, CA 92220 | 2009-04-01 |
1881857597 | Beaver Medical Group Lp | Non-Pharmacy Dispensing Site | 6109 W Ramsey St, Banning, CA 92220-3051 | 2008-07-03 |
1912180233 | Bahij Ghazal | Internal Medicine | 6109 W Ramsey St, Banning, CA 92220-3051 | 2007-12-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962056523 | Golden View Guest Home, Inc. | Assisted Living Facility | 5466 West Wilson, Banning, CA 92220 | 2019-07-31 |
1780246157 | Fjs Hearing Professionals | Hearing Instrument Specialist | 3559 W Ramsey Ave Suit C-2, Banning, CA 92220 | 2019-07-05 |
1790237832 | Jennifer De Geus | Counselor | 1627 Hargrave St., Banning, CA 92220 | 2016-10-25 |
1427447507 | Dalonna Blackwell | Counselor | 2781 W. Ramsey St., Banning, CA 92220 | 2015-01-13 |
1639575962 | Eunjung J. Jung Choi | Dentist | 300 S Highland Springs Ave Ste 2l, Banning, CA 92220 | 2014-11-13 |
1861810244 | Genevra Diana Glenn | Counselor | 2781 W Ramsey, Suite 1, Banning, CA 92220 | 2014-04-02 |
1841617420 | Kristen Lew | Internal Medicine | 6109 W.ramsey Street, Banning, CA 92220 | 2014-03-21 |
1588917884 | Jamison William Murphy | Military Health Care Provider | Uss Howard Ddg 83, Fpo, AP 92220 | 2012-10-24 |
1972871390 | John Hong | Pharmacist | 60 N Highlandsprings, Beaumont, CA 92220 | 2011-12-13 |
1679855936 | Lydia Session | Marriage & Family Therapist | 1627 S. Hargrave, Banning, CA 92220 | 2011-09-13 |
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Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316240971 | Susan Jane Sheedy | Nurse Practitioner | 5957 W Ramsey St, Banning, CA 92220-3058 | 2010-12-20 |
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1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
1942832894 | Bryonna Mathews | Nurse Practitioner | 362 Euclid Ave Apt 304, Oakland, CA 94610-3217 | 2020-02-09 |
1881224533 | Brittany Justine Ayala-patlan | Nurse Practitioner | 4034 S Carneros Ave, Ontario, CA 91761-3821 | 2020-01-22 |
1013547090 | Erin Elizabeth Murdock | Nurse Practitioner | 1986 Hummingbird Dr, Fairfield, CA 94534-6694 | 2020-01-18 |
1053950287 | Caitlin Rota | Nurse Practitioner | 432 S Pacific Coast Hwy, Redondo Beach, CA 90277-3735 | 2020-01-06 |
1578109302 | Ariel Rankin Mcdonald | Nurse Practitioner | 8920 Wilshire Blvd Ste 511, Beverly Hills, CA 90211-1949 | 2019-11-27 |
1093371478 | Fion Tai | Nurse Practitioner | 279 Tustin Field Dr, Tustin, CA 92782-6523 | 2019-05-12 |
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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.