SHEENA RENELL SMITH SMOOT


Address: 2510 Lakeland Dr, Flowood, MS 39232-9513
Phone: 6013551234

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MS 02872582 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
811 Highway 49 S, Richland, MS 392189408 6019325060
969 Lakeland Dr, Jackson, MS 392164606 6012004644 6012004645

Office Location

Street Address 2510 LAKELAND DR
City FLOWOOD
State MS
Zip Code 39232-9513

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City FLOWOOD
Zip Code 39232

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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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