SHEENA RENELL SMITH SMOOT (NPI# 1982122552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982122552 |
Entity Type | Individual |
Full Name | SHEENA RENELL SMITH SMOOT |
Credential | FNP |
Practice Address |
2510 Lakeland Dr Flowood MS 39232-9513 |
Mailing Address |
228 Rue Beau Chene Rd Ridgeland MS 39157-2070 |
Practice Telephone | 6013551234 |
Mailing Telephone | 6018134173 |
Enumeration Date | 2017-09-05 |
Last Update Date | 2019-05-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 902180 | MS | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
902180 | MS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 02872582 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
811 Highway 49 S, Richland, MS 392189408 | 6019325060 | |
969 Lakeland Dr, Jackson, MS 392164606 | 6012004644 | 6012004645 |
Street Address |
2510 LAKELAND DR |
City | FLOWOOD |
State | MS |
Zip Code | 39232-9513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801884234 | Samuel D Hensley | Pathology | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2005-10-10 |
1144872359 | Rebecca Sandifer Walker | Dietitian, Registered | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2019-07-09 |
1982103198 | Alexandra Tirrell Hobbs | Registered Nurse | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2018-02-03 |
1245776343 | Wren Nightengale Vines | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2017-01-12 |
1093260150 | Rachael Cade Stegall | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2016-08-18 |
1477909596 | Rachel F Dickerson | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2016-05-07 |
1841698792 | Audrey Leigh Upchurch | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2014-12-09 |
1124468061 | Brittany O'steen Morrow | Nurse Anesthetist, Certified Registered | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2013-06-25 |
1407115397 | Jason Kyle Jones | Pathology | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2012-05-11 |
1265725758 | Ollie Demarre Jones Jr. | Internal Medicine | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2011-05-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
Find all providers in zip 39232 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265924807 | Christina Perkins | Nurse Practitioner | 1006 Treetops Blvd Ste 101, Flowood, MS 39232-7645 | 2018-05-30 |
1457854408 | Leticia Fay Stribling | Nurse Practitioner | 2605 Courthouse Cir, Flowood, MS 39232-9521 | 2018-03-15 |
1316479124 | Christine Newman | Nurse Practitioner | 204 Woodgreen Cv, Flowood, MS 39232-7510 | 2017-03-30 |
1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
1326437740 | Jeremy David Hudson | Nurse Practitioner | 1710 Old Fannin Rd, Flowood, MS 39232-9004 | 2015-01-22 |
1144668146 | Kimberly Elizabeth Strong | Nurse Practitioner | 252 Katherine Dr, Ste A, Flowood, MS 39232-9024 | 2013-06-12 |
1538497334 | Melissa Harrell Mckissack | Nurse Practitioner | 4213 Lakeland Dr, Flowood, MS 39232-9212 | 2009-12-07 |
1205870706 | Cynthia Johnson Dean | Nurse Practitioner | 1080 River Oaks Dr Ste B103, Flowood, MS 39232-7602 | 2006-06-15 |
1013514553 | Jordan Claire Smith | Nurse Practitioner | 2550 Flowood Dr Ste 300, Flowood, MS 39232-9306 | 2020-10-07 |
1922615293 | Maria Katherine Townsend | Nurse Practitioner | 2506 Lakeland Dr Ste 300, Flowood, MS 39232-7640 | 2020-09-30 |
Find all providers in FLOWOOD |
Please comment or provide details below to improve the information on SHEENA RENELL SMITH SMOOT.
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.