MRS. ANTWENETTE CHARAE SMITH (NPI# 1982055653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982055653 |
| Entity Type | Individual |
| Full Name | MRS. ANTWENETTE CHARAE SMITH |
| Credential | FNP-BC |
| Practice Address |
106 E Broad St Savannah GA 31401-2917 |
| Mailing Address |
11 Melody Dr Pooler GA 31322-3644 |
| Practice Telephone | 9124548070 |
| Mailing Telephone | 9122721617 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN216380 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
106 E BROAD ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31401-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346228038 | Alvin Deron Jackson | Family Medicine | 106 E Broad St, Savannah, GA 31401-2917 | 2006-01-04 |
| 1013552504 | Anquetta Monique Cooper | Dental Hygienist | 106 E Broad St, Savannah, GA 31401-2917 | 2019-11-08 |
| 1225672041 | Victoria D Forbes | Dental Hygienist | 106 E Broad St, Savannah, GA 31401-2917 | 2019-11-05 |
| 1225689540 | Tonya Davis | Dental Hygienist | 106 E Broad St, Savannah, GA 31401-2917 | 2019-09-27 |
| 1467967877 | Laquita Holt | Dentist | 106 E Broad St, Savannah, GA 31401-2917 | 2017-12-07 |
| 1366963837 | Wendelyn Monique Brown | Nurse Practitioner | 106 E Broad St, Savannah, GA 31401-2917 | 2017-07-05 |
| 1346776002 | Nancy Flategraff | Nurse Practitioner | 106 E Broad St, Savannah, GA 31401-2917 | 2017-05-02 |
| 1689109266 | Torrie Charell Battle | Dentist | 106 E Broad St, Savannah, GA 31401-2917 | 2017-04-20 |
| 1447798988 | Michelle Dubberly-hobart | Nurse Practitioner | 106 E Broad St, Savannah, GA 31401-2917 | 2017-02-04 |
| 1649714981 | Adrian Elam | Nurse Practitioner | 106 E Broad St, Savannah, GA 31401-2917 | 2016-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031470 | Leslie Beatrice Dixon | Technician | 1109 Harmon Street, Savannah, GA 31401 | 2019-09-05 |
| 1912444621 | Sarah Kristen Shuman | Counselor | 140 East 40th St, Savannah, GA 31401 | 2017-01-20 |
| 1427591791 | Catherine Naomi Spann | Licensed Practical Nurse | 107 B Fahm Street, Savannag, GA 31401 | 2016-11-18 |
| 1871952499 | Jesline Palmer | Case Manager/Care Coordinator | 466 Martin Luther King Blvd, Savanah, GA 31401 | 2016-02-11 |
| 1487012894 | Suzanne Waltman Coote | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2016-02-01 |
| 1356748032 | Beverly Weaver | Registered Nurse | 107 B Fahm St., Savannah, GA 31401 | 2014-11-25 |
| 1275938011 | Olukemi Olubajo | Dietitian, Registered | 125 Fahm Street, J C Lewis Primary Health Care Center, Savannah, GA 31401 | 2014-10-22 |
| 1346642279 | Kristin Jaski | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2014-09-23 |
| 1528497500 | Kathleen Alice Flynn | Nurse Practitioner | 1900 Abercorn Street, Suite 100, Savannah, GA 31401 | 2013-11-11 |
| 1306112248 | Elizabeth Windom Stewart | Nurse Practitioner | 300 Bull St Ste 102, Savannah, GA 31401 | 2012-03-26 |
| Find all providers in zip 31401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1952900383 | Micaiah Mitchell | Nurse Practitioner | 10612 Middleground Rd Apt 513, Savannah, GA 31419-1268 | 2020-10-17 |
| 1104424712 | Yolanda Michelle Miller | Nurse Practitioner | 1651 Mckinnon Dr, Savannah, GA 31404-2319 | 2020-10-15 |
| 1730795386 | Shanika Graham | Nurse Practitioner | 2330 Coakley St, Savannah, GA 31404-4947 | 2020-09-18 |
| 1508479775 | Tonya L Creasy | Nurse Practitioner | 170 Barker Dr, Savannah, TN 38372-8419 | 2020-08-28 |
| 1356952394 | Elizabeth Woods Hammond | Nurse Practitioner | 107 W Liberty St Apt 6, Savannah, GA 31401-3965 | 2020-08-13 |
| 1740898915 | Bryan S Christain | Nurse Practitioner | 340 Hodgson Ct Ste 2, Savannah, GA 31406-1523 | 2020-07-14 |
| 1841814753 | Billie Sweeney | Nurse Practitioner | 134 Horse Creek Rd, Savannah, TN 38372-2984 | 2020-06-05 |
| 1609401140 | Malika Anderson Batie | Nurse Practitioner | 1632 Cloverdale Dr, Savannah, GA 31415-7814 | 2020-03-05 |
| 1760017206 | Evelia Johnsen | Nurse Practitioner | 11702 Mercy Blvd Ste 2g, Savannah, GA 31419-1777 | 2020-03-05 |
| Find all providers in SAVANNAH | ||||
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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.