MICAH SMITH (NPI# 1992257331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992257331 |
| Entity Type | Individual |
| Full Name | MICAH SMITH |
| Credential | ATC |
| Practice Address |
411 W Hawkins Pkwy Apt 4301 Longview TX 75605-1723 |
| Practice Telephone | 3175040593 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003309154 | Micah Joel Smith | Speech-Language Pathologist | 3801 Johnson Mill Blvd # Ab, Fayetteville, AR 72704-5297 | 2018-06-13 |
| 1316440308 | Micah Jovan Smith | Counselor | 2501 N Green Valley Pkwy Ste 116-118, Henderson, NV 89014-0273 | 2018-03-15 |
| 1427236249 | Micah Smith | Chiropractor | 108 N Forrest Ave, Camden, TN 38320-2062 | 2008-02-04 |
| 1104335124 | Micah Steven Smith | Physical Therapist | 5977 E Grant Rd Ste 101, Tucson, AZ 85712-2341 | 2017-09-21 |
| 1952836777 | Micah Smith | Pharmacist | 10121 Seminole Blvd, Seminole, FL 33772-2543 | 2017-04-30 |
| 1548667124 | Micah Smith | Orthotist | 17490 Highway 3 Ste 100a, Webster, TX 77598-4160 | 2014-11-26 |
| 1679730832 | Micah W Smith | Orthopaedic Surgery | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2008-05-16 |
| 1750316188 | Micah Jeremy Smith | Emergency Medicine | 750 W 800 N, Orem, UT 84057-3660 | 2006-07-12 |
| Street Address |
411 W HAWKINS PKWY APT 4301 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508485541 | Kayla Shaqui Brittain | Licensed Vocational Nurse | 411 W Hawkins Pkwy, Longview, TX 75605-1723 | 2020-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289308 | Juliana Ekpenyong | Student in an Organized Health Care Education/Training Program | 3002 Fairway Oaks Ln, Longview, TX 75605-2651 | 2020-09-10 |
| 1205443108 | Brittney Morghan Teaney | Student in an Organized Health Care Education/Training Program | 720 14th Ave, Longview, WA 98632-2315 | 2020-09-25 |
| 1144839010 | Jesse Elliot Rosenbaum | Student in an Organized Health Care Education/Training Program | 1060 Hudson St, Longview, WA 98632-3103 | 2020-07-27 |
| 1962041996 | Kelli Lynn Jones | Student in an Organized Health Care Education/Training Program | 1230 7th Ave, Longview, WA 98632-3166 | 2019-12-20 |
| 1063058220 | Joseph Alton Mcree | Student in an Organized Health Care Education/Training Program | 700 E Marshall Ave, Longview, TX 75601-5580 | 2019-11-22 |
| 1831756444 | Lakshay Jain | Student in an Organized Health Care Education/Training Program | 700 E Marshall Ave, Longview, TX 75601-5580 | 2019-05-20 |
| 1609373943 | Peter Mcneill | Student in an Organized Health Care Education/Training Program | 700 E Marshall Ave, Longview, TX 75601 | 2018-04-12 |
| 1932606241 | Arti Khatri | Student in an Organized Health Care Education/Training Program | 700 E Marshall Ave, Longview, TX 75601 | 2018-04-12 |
| 1881191021 | Madhuri Patil | Student in an Organized Health Care Education/Training Program | 700 E Marshall Ave, Longview, TX 75601-5580 | 2018-04-12 |
| 1245737493 | Anh Tuyet Vu | Student in an Organized Health Care Education/Training Program | 700 E Marshall Ave, Longview, TX 75601 | 2018-04-12 |
| Find all providers in LONGVIEW | ||||
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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.