MRS. TERESITA MARIA SMITH (NPI# 1952621674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952621674 |
Entity Type | Individual |
Full Name | MRS. TERESITA MARIA SMITH |
Credential | PHD, FNP-BC |
Practice Address |
626 Old River Rd Sylvania GA 30467-3315 |
Mailing Address |
603 Northlake Dr Keysville GA 30816-4316 |
Practice Telephone | 9128295300 |
Practice Fax Number | 9128295335 |
Mailing Telephone | 7062310400 |
Mailing Fax Number | 9128295335 |
Enumeration Date | 2010-06-03 |
Last Update Date | 2010-06-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN043558 NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
626 OLD RIVER RD |
City | SYLVANIA |
State | GA |
Zip Code | 30467-3315 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659884237 | Rachel Oglesby Edenfield | Nurse Practitioner | 1235 Edenfield Road, Sylvania, GA 30467 | 2017-11-06 |
1841739984 | Under The Shadows Private Home Care | Exclusive Provider Organization | 208 Curtis Street, Sylvania, GA 30467 | 2017-02-22 |
1023357324 | Jenkins County Hospital, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
1205195476 | Aacademy Adult Day &seniorliiving Facilityllc | Custodial Care Facility | 168 Davedeharahara Dr, Sylvania, GA 30467 | 2012-05-09 |
1407010689 | Screven County Family Medicine | Family Medicine | 215 Mims Road, Sylvania, GA 30467 | 2008-07-16 |
1518127687 | Sherma Peter | Family Medicine | 213 Mims Road, Sylvania, GA 30467 | 2008-06-12 |
1508925454 | Mppg, Inc. | Family Medicine | 105 Rocky Ford Road, Sylvania, GA 30467 | 2006-12-06 |
1891337572 | Allan Kipngeno | Pharmacist | 305 W Ogeechee St, Sylvania, GA 30467 | 2019-10-14 |
1770822066 | Screven County Hospital, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
1588903884 | Tattnall Hospital Company, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
Find all providers in zip 30467 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891320545 | Lynne Martin | Nurse Practitioner | 3914 Barleyton Cir, Sylvania, OH 43560-3504 | 2020-03-03 |
1386284172 | Shazeeda Bakhsh | Nurse Practitioner | 6075 Barkwood Ln, Sylvania, OH 43560-2215 | 2020-01-09 |
1629533930 | Rachel Baker | Nurse Practitioner | 7640 Sylvania Ave Ste L, Sylvania, OH 43560-9263 | 2019-01-31 |
1710466057 | Ahmad S Jallad | Nurse Practitioner | 5651 Elliott Dr., Sylvania, OH 43560-4356 | 2018-08-08 |
1679941561 | Raeann Lynn Brodbeck | Nurse Practitioner | 4125 King Rd, Sylvania, OH 43560-4445 | 2015-09-09 |
1861869240 | Beth A. Sander | Nurse Practitioner | 4419 Candlewood Ln, Sylvania, OH 43560-3806 | 2015-09-01 |
1659787679 | Sarah Wells | Nurse Practitioner | 5308 Harroun Rd Ste 150, Sylvania, OH 43560-2174 | 2014-07-10 |
1831466010 | Sharon Louise Loukx | Nurse Practitioner | 7510 Sylvania Ave, Sylvania, OH 43560-9725 | 2011-11-16 |
1467635664 | Carol I Peake | Nurse Practitioner | 5830 Woodrow Dr, Sylvania, OH 43560-1245 | 2007-12-11 |
1679516777 | Karen Beale Anderson | Nurse Practitioner | 105 Rocky Ford Rd, Sylvania, GA 30467-2027 | 2006-06-14 |
Find all providers in SYLVANIA |
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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.