CECELIA L SMITH


Address: 637 S Walker, Suite 2, Bloomington, IN 47403-2175
Phone: 8123345081

CECELIA L SMITH (NPI# 1962588657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962588657
Entity Type Individual
Full Name CECELIA L SMITH
Other Name CECELIA L CASSIDY
Credential N.P.
Practice Address 637 S Walker
Suite 2
Bloomington
IN 47403-2175
Mailing Address 250 N Shadeland Ave
Ste 130 Provider Enrollment
Indianapolis
IN 46219-4959
Practice Telephone 8123345081
Practice Fax Number 8123345091
Enumeration Date 2006-10-27
Last Update Date 2015-04-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
71001194 IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200351900 05

Other Providers CECELIA SMITH

NPI Name Taxonomy Address Enumeration
1073960001 Cecelia M Smith Nurse Practitioner 1 Riverview Plz, Red Bank, NJ 07701-1864 2016-05-19
1548516479 Cecelia Smith Home Health Aide 4519 Greenwood Rd, Beltsville, MD 20705-2628 2012-07-30
1316945785 Cecelia Ann Smith Nurse Anesthetist, Certified Registered 1900 Pine St, Hendrick Anesthesia Network, Abilene, TX 79601-2432 2005-07-11

Office Location

Street Address 637 S WALKER
SUITE 2
City BLOOMINGTON
State IN
Zip Code 47403-2175

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043783673 Brook Whitaker Registered Nurse 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 2019-01-07
1598251175 Jacob Edward Lundorf Nurse Practitioner 2100 S Liberty Dr Ste B, Bloomington, IN 47403 2018-07-06
1568973717 Gregory Thomas Dougan Physician Assistant 418 South Landmark Avenue, Bloomington, IN 47403 2017-10-16
1295276160 Indiana Center for Recovery, LLC Substance Abuse Rehabilitation Facility 1004 W 1st Street, Bloomington, IN 47403 2017-03-13
1144694217 Kayla Dewolf Specialist/Technologist 1471 W Allen St, Bloomington, IN 47403 2015-11-30
1164806444 Monroe Hosoital General Acute Care Hospital 4011 Monroe Medical Park, Bloomington, IN 47403 2015-07-16
1821411588 Jennifer Turner Occupational Therapy Assistant 1023 West Main St, Swiss Villa, Vevay, IN 47403 2014-01-30
1104170232 Kendall Basore Social Worker 445 S. Landmark Ave., Bloomington, IN 47403 2012-10-26
1568715886 Indiana Hearing LLC Hearing Aid Equipment 2019 S Liberty Dr, Bloomington, IN 47403 2012-10-24
1679870232 Accurate Hearing Services Clinic/Center 1355 W Second St, #3, Bloomington, IN 47403 2011-02-17
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346760253 Elizabeth Devlin Nurse Practitioner 25 Long Cove Ct, Bloomington, IL 61704 2017-06-21
1942392675 Bradley J Cole Nurse Practitioner 2406 East Empire, Bloomington, IL 61704 2006-09-29
1205364494 Hena Naz Shah Nurse Practitioner 550 S Landmark Ave, Bloomington, IN 47403-3239 2017-06-01
1730616756 Julia Dmitri Jesme Nurse Practitioner 8600 Nicollet Ave S, Bloomington, MN 55420-2824 2017-05-22
1275914020 Jaclyn Rose Guetzko Nurse Practitioner 7920 Old Cedar Ave S, Bloomington, MN 55425-1207 2015-06-17
1548669112 Jennifer Phelps Nurse Practitioner 455 S Landmark Ave, Bloomington, IN 47403-5004 2014-08-19
1497181507 Lindsey Ann Mehran-rezaii Nurse Practitioner 8101 34th Ave S, Ms26602g, Bloomington, MN 55425-1692 2013-09-20
1487901997 Angela Vogt Nurse Practitioner 601 W 2nd St, Bloomington, IN 47403-2317 2012-08-14
1962711333 Kathleen P Price Nurse Practitioner 550 S Landmark Ave, Bloomington, IN 47403-3239 2010-10-01
1942453147 Frank Nelson Young Nurse Practitioner 326 S Woodscrest Dr, Bloomington, IN 47401-5314 2008-10-31
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Competitor

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City BLOOMINGTON
Zip Code 47403

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Dataset Information

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.

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