Ebony Smith (NPI# 1700214525, PAC ID# 8325270549) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1700214525 |
| PAC ID by PECOS | 8325270549 |
| Professional Enrollment ID | I20140422000911 |
| Full Name | Ebony Smith |
| Organization Legal Name | SWLA CENTER FOR HEALTH SERVICES |
| Address |
500 Patterson St Lafayette LA 70501-1849 |
| Phone Number | 3377699451 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9133029853 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190102 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 500 Patterson St, Lafayette, LA 70501-1849 | 3377699451 | SWLA CENTER FOR HEALTH SERVICES |
| Organization Legal Name | SWLA CENTER FOR HEALTH SERVICES |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Consuela M Colston | Clinical Social Worker | Swla Center for Health Services | 2000 Opelousas St, Lake Charles, LA 70601-2641 |
| Colleen Hall Unkel | Nurse Practitioner | Swla Center for Health Services | 112 N 6th St, Oberlin, LA 70655-6109 |
| Danielle J Threatts | Nurse Practitioner | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| David P Kosnosky | Internal Medicine | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| Christal Safford Waller | Nurse Practitioner | Swla Center for Health Services | 2000 Opelousas St, Lake Charles, LA 70601-2641 |
| Nicole M John | Nurse Practitioner | Swla Center for Health Services | 2000 Opelousas St, Lake Charles, LA 70601-2641 |
| Lisa A Vaughn | Osteopathic Manipulative Medicine | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| Theresa M Ivey | Clinical Social Worker | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| Candace L. Douglas | Obstetrics/gynecology | Swla Center for Health Services | 2000 Opelousas St, Lake Charles, LA 70601-2641 |
| Crystal S. Fontenot | Nurse Practitioner | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| Street Address |
500 PATTERSON ST |
| City | LAFAYETTE |
| State | LA |
| Zip | 70501-1849 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle J Threatts | Nurse Practitioner | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| David P Kosnosky | Internal Medicine | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| Lisa A Vaughn | Osteopathic Manipulative Medicine | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| Theresa M Ivey | Clinical Social Worker | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| Crystal S. Fontenot | Nurse Practitioner | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| Shanone D Chatman-ashley | Nurse Practitioner | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick R Magee | Optometry | 1800 Ne Evangeline Thruway, Suite H 7, Lafayette, LA 70501 | |
| Bryan Lebean | Internal Medicine | 2930 Moss St B, Lafayette, LA 70501-1274 | |
| Rebecca N Havlik | Nurse Practitioner | Acadiana Concern for Aids Relief Education and Support, Inc. | 809 Martin Luther King Jr Dr, Lafayette, LA 70501-1884 |
| Cynthia J Preis | Nurse Practitioner | Acadiana Concern for Aids Relief Education and Support, Inc. | 809 Martin Luther King Jr Dr, Lafayette, LA 70501-1884 |
| Gerald G Gerdes Jr. | Optometry | 2041 Nw Evangeline Thruway, Lafayette, LA 70501-1925 | |
| Juliette C Stefanski | Pediatric Medicine | Louisiana Department of Health - Office of Public Health | 220 W Willow St Bldg A, Lafayette Public Health Unit, Lafayette, LA 70501-2837 |
| James M Mwatibo | Family Medicine | Lourdes Physician Group LLC | 850 N Pierce St B, Lourdes Physician Group, Lafayette, LA 70501-2848 |
| Brandi N Washington | Nurse Practitioner | 1417 Moss St, Suite A, Lafayette, LA 70501-3610 | |
| Shankaraiah R Kothapalli | Internal Medicine | 903 Ctr St, Lafayette, LA 70501-3901 | |
| Chantelle V Aaron | Physical Therapy | 805 W Congress St, Lafayette, LA 70501-5719 | |
| Find all physicians in zip 70501 | |||
| City | LAFAYETTE |
| Zip Code | 70501 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAFAYETTE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ebony Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.