MR. KENNETH E SMITH (NPI# 1942203765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942203765 |
| Entity Type | Individual |
| Full Name | MR. KENNETH E SMITH |
| Credential | CNP |
| Practice Address |
527 N Meridian Rd Youngstown OH 44509-1227 |
| Practice Telephone | 3307970070 |
| Mailing Telephone | 3307970070 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN.CNP.05173 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2372614 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 W Chalmers Ave, Youngstown, OH 445111576 | 3307970070 | |
| 667 Eastland Ave Se, Warren, OH 44484 | 3308412378 | 3308414667 |
| 9471 Market St, Suite A, North Lima, OH 444528702 | 3307267100 | 3307580347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680061 | Kenneth Lee Smith | Licensed Practical Nurse | 4905 Frontier Rd, Garland, TX 75043-3506 | 2020-08-18 |
| 1962067439 | Kenneth George Smith | Ophthalmology | 26 Apple Valley Road, High Rolls, NM 88325 | 2019-05-09 |
| 1568933141 | Kenneth Smith | Pharmacist | 4393 Fielding Ln, Norcross, GA 30092-1647 | 2018-12-08 |
| 1639645203 | Kenneth Smith | Social Worker | 311 S Betty Ln Apt 34, Clearwater, FL 33756-5849 | 2018-10-22 |
| 1487105144 | Kenneth Smith | Counselor | 4041 N High St Ste 300n, Columbus, OH 43214-3200 | 2016-10-18 |
| 1356898480 | Kenneth Smith | Nurse Practitioner | 6480 Se 55th St, Trenton, FL 32693-3019 | 2016-09-07 |
| 1942661897 | Kenneth Smith | Counselor | 26 Cahoon Rd, Apt A, Buzzards Bay, MA 02532-4802 | 2016-03-18 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1376945261 | Kenneth Smith II | Nurse Practitioner | 224 W D. L. Ingram Ave, Cannon Afb, NM 88103-5103 | 2014-09-23 |
| 1982041018 | Kenneth Lee Smith II | Psychiatry & Neurology | 2323 Sandringham Cir, Indianapolis, IN 46214-2396 | 2013-05-30 |
| Street Address |
527 N MERIDIAN RD |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44509-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417564881 | Alysa M Vigus | Licensed Practical Nurse | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2020-09-29 |
| 1144836214 | Tabitha L Gatrell | Community/Behavioral Health | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2020-09-23 |
| 1609489624 | Mason G Edmunds | Prevention Professional | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2020-08-28 |
| 1154960433 | Kimberly A Curl | Licensed Practical Nurse | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2020-01-03 |
| 1629616149 | Angila J Anderson | Licensed Practical Nurse | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2019-12-16 |
| 1891331112 | Keona White | Counselor | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2019-11-21 |
| 1861035354 | William V Silverstone | Social Worker | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2019-10-28 |
| 1407404064 | Lindsey Kay Townsend | Social Worker | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2019-08-27 |
| 1760039358 | Dawn Fantone | Licensed Practical Nurse | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2019-08-20 |
| 1265088199 | Heather Ashley Dawson | Nurse Practitioner | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2019-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382721 | Briann C Little | Home Health | 241 S Osborn Ave, Youngstown, OH 44509 | 2020-09-23 |
| 1639794498 | Drelynn Jacobs | Home Health Aide | 216 S Schenley Ave, Youngstown, OH 44509 | 2020-06-08 |
| 1619596707 | Adrian Leondra Allen | Technician | 34 S. Hazelwood Ave, Youngstown, OH 44509 | 2020-04-09 |
| 1851811152 | Grace Services, Inc. | Public Health or Welfare | 715 N Meridian Road, Youngstown, OH 44509 | 2017-06-27 |
| 1093260689 | Laticia Ruberto | Counselor | 527 N, Meridian Rd, Youngstown, OH 44509 | 2016-08-24 |
| 1154705275 | Debbie Taylor | Counselor | 527 N. Meridian Road, Youngstown, OH 44509 | 2015-07-18 |
| 1043552680 | Robinette Patrice Dawson | Home Health | 218 S Portland Ave, Youngstown, OH 44509 | 2013-03-21 |
| 1194097006 | Jonnelle L Ballard | Licensed Practical Nurse | 970 S Belle Vista Ave, Youngstown, OH 44509 | 2012-02-08 |
| 1740565548 | Elias Emile Boulos Jr. | Pharmacist | 40 North Meridian Rd, Youngstown, OH 44509 | 2011-10-13 |
| 1508067356 | Ruby R Grover | Social Worker | 527 N Meridian Road, Youngstown, OH 44509 | 2007-05-30 |
| Find all providers in zip 44509 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770033250 | Bethany Grace Tittle | Nurse Practitioner | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2016-10-10 |
| 1013464080 | Kristie Elizabeth Miller | Nurse Practitioner | 4694 Belmont Ave, Youngstown, OH 44505-1012 | 2016-09-07 |
| 1447705058 | Amber Walden | Nurse Practitioner | 726 Wick Ave, Youngstown, OH 44505-2827 | 2016-08-24 |
| 1275985442 | Brittany Mancini | Nurse Practitioner | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2016-07-12 |
| 1356711139 | Talishia Marie Jones | Nurse Practitioner | 1044 Belmont Ave, Youngstown, OH 44504 | 2015-10-06 |
| 1598135790 | Barbara A Walsh | Nurse Practitioner | 1011 Boardman Canfield Rd, Youngstown, OH 44512-4226 | 2015-09-30 |
| 1053789123 | Pamela Smith | Nurse Practitioner | 7630 Southern Blvd, Youngstown, OH 44512-5633 | 2015-09-08 |
| 1639547086 | Jennifer L. Barrett | Nurse Practitioner | 20 Ohltown Rd, Youngstown, OH 44515-2331 | 2015-09-02 |
| 1023406394 | Jason Sindledecker | Nurse Practitioner | 1011 Boardman Canfield Rd, Youngstown, OH 44512-4226 | 2015-01-08 |
| 1417394941 | Deborah J Nichols | Nurse Practitioner | 925 Trailwood Dr, Youngstown, OH 44512-5008 | 2013-05-23 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44509 |
Please comment or provide details below to improve the information on MR. KENNETH E SMITH.
| 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.