BROCK SMITH (NPI# 1932175114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932175114 |
| Entity Type | Individual |
| Full Name | BROCK SMITH |
| Credential | CRNA |
| Practice Address |
9040 Fitzsimmons Dr Tacoma WA 98431-1000 |
| Mailing Address |
8326 Jamieson Ct Sw Tumwater WA 98512-2469 |
| Practice Telephone | 2539682960 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 22290 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669460986 | Brock Lewis Smith | Physician Assistant | 8801 N Tarrant Pkwy, North Richland Hills, TX 76182-8461 | 2005-10-11 |
| 1376173864 | Brock Smith | Community Health Worker | 1199 Delaware Ave, Marion, OH 43302-6475 | 2020-01-23 |
| 1720483399 | Brock Smith | Social Worker | 3111 S Dixie Hwy, West Palm Beach, FL 33405-1557 | 2014-10-25 |
| Street Address |
9040 FITZSIMMONS DR |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669464483 | Michele Stone | Nurse Anesthetist, Certified Registered | 9040 Fitzsimmons Dr, Mced, Tacoma, WA 98431-1000 | 2005-08-18 |
| 1689175143 | Mitchell Anthony Lion | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2018-02-21 |
| 1295054906 | Gregory Robert Pittman | Emergency Medicine | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-19 |
| 1275852139 | Rebecca Megan Ortolano | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-18 |
| 1104144906 | Victor Young Yu | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-04 |
| 1841517604 | Ian D Funnell | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-03 |
| 1609192095 | Michael Lanton | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-04-11 |
| 1538484399 | Paul Mitchell Houghtaling | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-04-05 |
| 1861717217 | Efrain Rivera | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-03-29 |
| 1518280460 | Emilie Belle Duclos Fitzpatrick | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316296775 | Nicholas Allan Kroll | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave Credentials Office, Tacoma, WA 98431-2664 | 2012-08-31 |
| 1619272119 | Connie E. Jensen Pllc | Nurse Anesthetist, Certified Registered | 502 S M St Ste 200, Tacoma, WA 98405-3728 | 2011-01-14 |
| 1588975791 | Celeste Marie Hebert | Nurse Anesthetist, Certified Registered | 4907 162nd Street Ct E, Tacoma, WA 98446-3823 | 2010-06-23 |
| 1861654923 | Sound Anesthesia, LLP | Nurse Anesthetist, Certified Registered | 1112 6th Ave Ste 100, Tacoma, WA 98405-4048 | 2008-06-30 |
| 1346401833 | Robert Matt Cline | Nurse Anesthetist, Certified Registered | 3209s 23rd St 340, Tacoma, WA 98405-1602 | 2008-06-18 |
| 1013117837 | Douglas L Raber, Crna, Ps | Nurse Anesthetist, Certified Registered | 4165 Augusta Dr Ne, Tacoma, WA 98422-4751 | 2007-07-19 |
| 1780754945 | United States Army | Nurse Anesthetist, Certified Registered | 1814 Beacon Ct Ne, Tacoma, WA 98422-3469 | 2006-11-08 |
| 1043313927 | Melissa Alsbergas | Nurse Anesthetist, Certified Registered | 3209 S 23rd St Ste 240, Tacoma, WA 98405 | 2006-09-06 |
| 1598701328 | David Charles Joss | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave Madigan Army Medical Center Bldg 9040, Tacoma, WA 98431-0001 | 2006-06-21 |
| 1760430151 | Amy M Nielsen | Nurse Anesthetist, Certified Registered | 3209 S 23rd St Ste 340, Tacoma, WA 98405 | 2006-05-05 |
| Find all providers in TACOMA | ||||
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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.