JUSTIN SCOTT SMITH (NPI# 1902247075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902247075 |
| Entity Type | Individual |
| Full Name | JUSTIN SCOTT SMITH |
| Credential | FNP-BC |
| Practice Address |
400 Matthew St Ste 401 Marietta OH 45750-1656 |
| Mailing Address |
Po Box 449 Marietta OH 45750-0449 |
| Practice Telephone | 7403742252 |
| Mailing Telephone | 7403744500 |
| Mailing Fax Number | 7403745887 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN.CNP.15545 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | APRN66188-FNP-BC | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810026626 | 05 | |
| OH | RAILROAD MEDICARE - MHCPI | P01608707 | 01 |
| OH | 0090140 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 Matthew St, Marietta, OH 457501635 | 7403741623 | |
| 805 Farson St Ste 110, Belpre, OH 457141000 | 7404233208 | |
| 807 Farson St Ste 204a, Belpre, OH 457141069 | 7404233223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578034237 | Justin Bengt Smith | Psychologist | 270 E Highway 246, Buellton, CA 93427-9669 | 2018-12-06 |
| 1851820773 | Justin Michael Smith | Registered Nurse | 333 Smith Ave N # Mr 60229, Saint Paul, MN 55102-2344 | 2017-06-05 |
| 1841678281 | Justin Smith | Specialist/Technologist | 1088 75th St, Amery, WI 54001-5220 | 2015-05-18 |
| 1225450984 | Justin L. Smith | Counselor | 100 E Somerset Church Rd, Somerset, KY 42503-4977 | 2014-01-15 |
| 1154671394 | Justin Smith | Contractor | 2104 Elizabeth Ave, Zion, IL 60099-2731 | 2012-09-14 |
| 1598015828 | Justin Smith | Nurse Practitioner | 1113 Church St, Conway, SC 29526-4128 | 2012-09-13 |
| 1144591306 | Justin Michael Smith | Technician, Other | 1436 S Irving St, Apartment A-321, Denver, CO 80219-3957 | 2012-01-19 |
| 1992005037 | Justin William Smith | Case Manager/Care Coordinator | 1355 E. Main, Batesville, AR 72501 | 2010-10-22 |
| 1497061634 | Justin R Smith | Dentist | 2407 Saint Andrews Blvd, Panama City, FL 32405-2170 | 2010-08-25 |
| 1245556307 | Justin William Smith | Internal Medicine | 273 Winton Blount Loop, Montgomery, AL 36117-3507 | 2010-04-14 |
| Street Address |
400 MATTHEW ST STE 401 |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-1656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245262112 | Molly Mcafee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 400 Matthew St Ste 401, Marietta, OH 45750-1656 | 2006-07-07 |
| 1851827604 | Jane E Anosike | Physician Assistant | 400 Matthew St Ste 401, Marietta, OH 45750-1656 | 2017-05-11 |
| 1558739193 | Danielle E. Lang | Physician Assistant | 400 Matthew St Ste 401, Marietta, OH 45750-1656 | 2015-09-14 |
| 1730581125 | Christine Hupp | Physician Assistant | 400 Matthew St Ste 401, Marietta, OH 45750-1656 | 2014-09-17 |
| 1164865465 | Stacy Lea Devol | Clinical Nurse Specialist | 400 Matthew St Ste 401, Marietta, OH 45750-1656 | 2013-04-17 |
| 1952695330 | Emmett Harold Lotton | Surgery | 400 Matthew St Ste 401, Marietta, OH 45750-1656 | 2011-06-03 |
| 1659556280 | Ainsley Virginia Weisman | Physician Assistant | 400 Matthew St Ste 401, Marietta, OH 45750-1656 | 2008-01-02 |
| 1073600979 | Lane M Lee | Surgery | 400 Matthew St Ste 401, Marietta, OH 45750-1656 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677455 | Amy Lynn Patterson | Nurse Practitioner | 254 Senna St, Marietta, GA 30064-4417 | 2020-10-22 |
| 1356996748 | Katrina Nicole Likes | Nurse Practitioner | 2965 Johnson Ferry Rd Ste D, Marietta, GA 30062-8364 | 2019-08-02 |
| 1205488822 | Deborah Patterson Ott | Nurse Practitioner | 1165 Timberland Dr Se, Marietta, GA 30067-5120 | 2019-07-13 |
| 1922664754 | Amanda Lynn Mcelheney | Nurse Practitioner | 1997 Cheatham Woods Dr Sw, Marietta, GA 30008-4451 | 2019-05-16 |
| 1477020295 | Candi Holyfield | Nurse Practitioner | 1395 S Marietta Pkwy Se Ste 216, Marietta, GA 30067-7832 | 2018-10-30 |
| 1346755998 | Allen Surgical LLC | Nurse Practitioner | 3689 Mountain Rd Ne, Marietta, GA 30066-2411 | 2017-12-05 |
| 1437660305 | Tara Randall | Nurse Practitioner | 2810 Tanner Lake Trl Nw, Marietta, GA 30064-1200 | 2017-10-19 |
| 1487006912 | Tara B Pickens | Nurse Practitioner | 401 Matthew St Ste 200, Marietta, OH 45750-1635 | 2016-07-08 |
| 1528420452 | Shakia Frisby | Nurse Practitioner | 124 Powers Ferry Rd Se Ste E, Marietta, GA 30067-7579 | 2016-03-21 |
| 1912371782 | Renee Bateman Brown | Nurse Practitioner | 488 Kennesaw Ave Nw Ste 200, Marietta, GA 30060 | 2015-11-17 |
| Find all providers in MARIETTA | ||||
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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.