ROSHUNDA WILLIAMS SMITH (NPI# 1902171069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902171069 |
| Entity Type | Individual |
| Full Name | ROSHUNDA WILLIAMS SMITH |
| Credential | RN, MSN, NP-C |
| Practice Address |
360 E Eh Crump Blvd Memphis TN 38126-5310 |
| Mailing Address |
3085 Edgeworth Ln Memphis TN 38119-8914 |
| Practice Telephone | 9012612000 |
| Mailing Telephone | 6629026778 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2016-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
23143 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP121626 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
360 E EH CRUMP BLVD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38126-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275530222 | Cheryl K Giles | Family Medicine | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2005-07-06 |
| 1477186476 | Joshua Mayberry | Nurse Practitioner | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2020-02-18 |
| 1871123364 | Andrea M. Patterson | Nurse Practitioner | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2020-01-23 |
| 1215570189 | Raghu Damarla | Pharmacist | 360 E Eh Crump Blvd, Memphis, TN 38126-5394 | 2019-10-23 |
| 1003369109 | Tiffinie Wilson | Nurse Practitioner | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2016-07-26 |
| 1578936803 | Jennifer Renee Tillery | Nurse Practitioner | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2015-11-09 |
| 1962838854 | Danielle Michelle Wright | Pharmacist | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2013-09-24 |
| 1013359439 | Sheila Lynne Coleman-denton | Dentist | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2013-07-26 |
| 1154663722 | Daria D Weathers | Social Worker | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2013-03-21 |
| 1295082022 | Juanita M Raines | Pharmacist | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2012-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427287184 | Odessa A. Williamson | Social Worker | 694 Williams St., Memphis, TN 38126 | 2009-07-02 |
| 1407074719 | Shannon E Johnson | Counselor | 427 Linden, Ave, Memphis, TN 38126 | 2007-04-23 |
| 1679797062 | Janice Rene Smith | Counselor | 427 Linden Avenue, Memphis, TN 38126 | 2007-04-13 |
| 1144236902 | Memphis Health Center, Inc. | Clinic/Center | 360 E H Crump Blvd, Memphis, TN 38126 | 2006-08-01 |
| 1598989709 | Rhonda L. Mccloude | Counselor | 427 Linden Ave, Memphis, TN 38126 | 2007-04-12 |
| 1366502148 | Sharikia S Harris | Dentist | 360 E H Crump Blvd, Memphis, TN 38126 | 2006-12-11 |
| 1316040447 | Memphis Health Center, Inc | Pharmacy | 360 E H Crump Blvd, Memphis, TN 38126 | 2006-09-06 |
| 1275785537 | Odessa's Foster Care Home, Inc. | Foster Care Agency | 694 Williams, Memphis, TN 38126-0001 | 2008-10-17 |
| 1508072760 | Lamarcus Wingate | Student in an Organized Health Care Education/Training Program | 255 S Dunlap St # 230, Memphis, TN 38126-1801 | 2007-05-15 |
| 1437112026 | Dva Renal Healthcare Inc | Clinic/Center | 889 Dr Ml King Jr Ave, Memphis, TN 38126-1928 | 2006-04-06 |
| Find all providers in zip 38126 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1245837533 | Sandra Dee Garrison | Nurse Practitioner | 335 Lillian Dr, Memphis, TN 38109-4431 | 2020-10-08 |
| 1972119527 | Oneka E Poindexter | Nurse Practitioner | 86 N Rembert St, Memphis, TN 38104-2766 | 2020-09-18 |
| 1295346260 | Jimarie Nelson | Nurse Practitioner | 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 | 2020-08-13 |
| 1346869187 | Tollaria Williams | Nurse Practitioner | 3797 Old Waverly Cv Apt 201, Memphis, TN 38125-2678 | 2020-04-12 |
| 1497388912 | Michelle Denise Jones | Nurse Practitioner | 493 Doctor M.l.k. Jr Ave, Memphis, TN 38126-3812 | 2020-02-13 |
| 1336781657 | J Wilson Health LLC | Nurse Practitioner | 5100 Poplar Ave, Fl 27 Ste 2719a, Memphis, TN 38137-2701 | 2019-10-09 |
| 1265081574 | Natalie Staten | Nurse Practitioner | 7651 Shelby Forest Cv, Memphis, TN 38125-2822 | 2019-09-09 |
| 1881247740 | Mekeilah Nevaun Johnson | Nurse Practitioner | 6005 Park Ave Ste 825b, Memphis, TN 38119-5223 | 2019-07-19 |
| 1205488087 | Wendy Powell | Nurse Practitioner | 1407 Union Ave Ste 405, Memphis, TN 38104-3627 | 2019-07-12 |
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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.