ALEXIS NICOLE SMITH (NPI# 1962937839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962937839 |
| Entity Type | Individual |
| Full Name | ALEXIS NICOLE SMITH |
| Practice Address |
6115 Tapir Pl Waldorf MD 20603 |
| Mailing Address |
6115 Tapir Pl Waldorf MD 20603-4349 |
| Practice Telephone | 2404729172 |
| Mailing Telephone | 2404729172 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6115 Tapir Pl, Waldorf, MD 20603 | 2404729172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333530 | Alexis Marie Smith | Counselor | 405 S Ruess Rd Apt C, Owosso, MI 48867-9397 | 2019-12-12 |
| 1740770627 | Alexis Leaann Smith | Behavior Technician | 1100 Nw Arlington Pl Apt 8, Blue Springs, MO 64015-2689 | 2018-05-16 |
| 1922470350 | Alexis Smith | Chiropractor | 1927 Highway 138 Ne Ste 500, Conyers, GA 30013-1254 | 2015-10-26 |
| 1922356278 | Alexis Smith | Naturopath | 3278 Folsom St, Boulder, CO 80304-2411 | 2012-08-16 |
| 1235428103 | Alexis Christine Smith | Internal Medicine | 10030 Gilead Rd Ste 300, Huntersville, NC 28078-7545 | 2011-03-31 |
| 1417128380 | Alexis Marie Smith | Radiology | 7177 Struthers Rd, Youngstown, OH 44514-2270 | 2008-03-18 |
| 1063693109 | Alexis Laverne Smith | Nurse Practitioner | 11840 Southmore Drive, Charlotte, NC 28277-4821 | 2007-11-16 |
| 1316545205 | Alexis Smith | Physical Therapy Assistant | 31 Park Ave, Meadville, PA 16335-9435 | 2020-10-13 |
| 1104437581 | Alexis Nicole Smith | Speech-Language Pathologist | 4055 Johns Creek Pkwy Ste A, Suwanee, GA 30024-1299 | 2020-08-11 |
| 1083224760 | Alexis Smith | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-08-06 |
| Street Address |
6115 TAPIR PL |
| City | WALDORF |
| State | MD |
| Zip Code | 20603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1235585472 | Msb Counseling Services, Inc | Counselor | 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 | 2016-05-06 |
| 1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
| 1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
| 1477810067 | Johnathan Vital | Clinical Neuropsychologist | 2413 Altenburg Ct, Waldorf, MD 20603 | 2012-04-19 |
| 1831480615 | Tara Marie Adams | Physical Therapist | 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 | 2011-04-27 |
| 1891007662 | Tanuja Katta | Pharmacist | 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 | 2010-07-09 |
| 1962725697 | Rhonda Bumpers-bland | Occupational Therapist | 2945 Fern Hill Place, Waldorf, MD 20603 | 2010-03-09 |
| 1265672901 | Shannon L Hamm | Counselor | 6126 Gray Wolf Court, Waldorf, MD 20603 | 2009-02-20 |
| 1710147608 | Greater Metropolitan Orthopaedics | Physical Therapist | 11325 Pembrooke Square, Suite 115, Waldorf, MD 20603 | 2008-06-13 |
| Find all providers in zip 20603 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174081285 | Jada S Payne | Specialist/Technologist | 8645 Valley Dr, Waldorf, MD 20603-6147 | 2019-03-07 |
| 1528522372 | Jurnee Thomas | Specialist/Technologist | 15365 Secret Hollow Pl, Waldorf, MD 20601-4485 | 2019-01-25 |
| 1376044339 | Jordan Owens | Specialist/Technologist | 2628 Hatteras Cir, Waldorf, MD 20601-5294 | 2018-02-26 |
| 1467016956 | Michele Ferguson | Specialist/Technologist | 3320 Crain Hwy, Waldorf, MD 20603-4850 | 2019-04-30 |
| 1013326495 | Christopher Todd Wogamon | Specialist/Technologist | 10 Saint Patricks Dr, Waldorf, MD 20603-4527 | 2014-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253928 | Haleemah Muhaymin | Specialist/Technologist | 4701 Cedar Ct, Beltsville, MD 20705-2849 | 2020-10-24 |
| 1093328775 | Meghan Rose Pugh | Specialist/Technologist | 411 Penwood Dr, Edgewater, MD 21037-3441 | 2020-08-24 |
| 1023620978 | Tyler Francis Miller | Specialist/Technologist | 103 Cara Cove Rd, North East, MD 21901-5405 | 2020-08-21 |
| 1598376238 | Jessica Henslee | Specialist/Technologist | 8500 Paint Branch Dr, College Park, MD 20742-0001 | 2020-08-16 |
| 1164031811 | Deshanae Michelle Meaders | Specialist/Technologist | 2742 Lorring Dr Apt 204, District Heights, MD 20747-3434 | 2020-07-29 |
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1871118810 | Jordyn Milan Brown | Specialist/Technologist | 9 Lee Airpark Dr # 400, Edgewater, MD 21037-1229 | 2020-06-16 |
| 1184249567 | Kirsten Helman | Specialist/Technologist | 23327 Ringgold Pike, Smithsburg, MD 21783-1114 | 2020-06-11 |
| 1902428188 | Dwanye D Molock | Specialist/Technologist | 11550 Crossroads Cir Unit 649, Middle River, MD 21220-2994 | 2020-05-11 |
| 1154942043 | Alysia Frances Henderson | Specialist/Technologist | 7675 Baltimore Avenue, Ritchie Coliseum 0100, College Park, MD 21144 | 2020-05-01 |
| 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.