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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200351900 | 05 |
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 |
Street Address |
637 S WALKER SUITE 2 |
City | BLOOMINGTON |
State | IN |
Zip Code | 47403-2175 |
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 |
Find all providers in zip 47403 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 47403 |
Please comment or provide details below to improve the information on CECELIA L 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.