MRS. CRYSTAL G SMIDDY (NPI# 1942531850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942531850 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL G SMIDDY |
| Practice Address |
286 Hatfield St Jellico TN 37762-2616 |
| Practice Telephone | 6062805955 |
| Mailing Telephone | 6062805955 |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2019-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
286 HATFIELD ST |
| City | JELLICO |
| State | TN |
| Zip Code | 37762-2616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063992600 | Springs of Life | Psychologist | 185 Baker Street, Jellico, TN 37762 | 2018-08-14 |
| 1679666366 | Charles Henry Wilkens | Family Medicine | 131 Hospital Lane, Jellico, TN 37762 | 2006-10-02 |
| 1225096217 | Benjamin Wayne D'ooge | Emergency Medicine | 188 Hospital Lane, Jellico, TN 37762 | 2006-05-02 |
| 1770790065 | Dayspring Health Inc | Physician Assistant | 107 S Main St, Jellico, TN 37762 | 2007-05-17 |
| 1790856102 | Charles R Hayes | Nurse Anesthetist, Certified Registered | 188 Hospital Ln, Jellico, TN 37762 | 2006-11-10 |
| 1023022084 | Dayspring Health Inc | Obstetrics & Gynecology | 550 Sunset Trl, Jellico, TN 37762 | 2006-07-27 |
| 1174691315 | Family Drug Center Inc | Durable Medical Equipment & Medical Supplies | 248 S Main St, Jellico, TN 37762-2017 | 2006-12-04 |
| 1114442175 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 248 S Main St, Jellico, TN 37762-2017 | 2017-08-10 |
| 1598211401 | Jonathan Broyles | Pharmacist | 248 S Main St, Jellico, TN 37762-2017 | 2016-08-30 |
| 1184008005 | Rite Aid of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 248 S Main St, Jellico, TN 37762-2017 | 2015-07-10 |
| Find all providers in zip 37762 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405020 | Joanna S Dau | Developmental Therapist | 1740 Rabbit Valley Rd Nw, Cleveland, TN 37312-6921 | 2020-10-20 |
| 1447554415 | Thuy Kim Tracy | Developmental Therapist | 7105 Crossroad Blvd, Suite 106, Brentwood, TN 37027 | 2011-01-05 |
| 1275837650 | Julie Hill | Developmental Therapist | 1805 Auburn Dr, Clarksville, TN 37043-5920 | 2010-12-29 |
| 1578881231 | Christy Shepherd Smith | Developmental Therapist | 9501 Mount Ayre Way, Murfreesboro, TN 37129-7836 | 2010-05-05 |
| 1093040347 | Rasoul Mokhtari | Developmental Therapist | 4636 Lebanon Pike # 167, Hermitage, TN 37076-1316 | 2009-10-05 |
| 1134357965 | Jeanette Anne Bunt | Developmental Therapist | 1055b Ridgecrest Dr, Goodlettsville, TN 37072-3621 | 2009-07-01 |
| 1437309770 | Katherine Marie Welter | Developmental Therapist | 1004 Hickory Hill Ln Ste 4, Hermitage, TN 37076-1931 | 2008-09-23 |
| 1831348945 | Niamh P O' Kane | Developmental Therapist | 11196 Cashmere Wood Dr, Arlington, TN 38002-4474 | 2008-09-12 |
| 1982829065 | Audiene M Stoneham Nance | Developmental Therapist | 311 Holmes St, South Fulton, TN 38257-2139 | 2007-04-16 |
| 1518512367 | Melanie Dupree Norman | Developmental Therapist | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2019-08-08 |
| Find all providers with the same taxonomy | ||||
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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.