SANDRA SMITH (NPI# 1013319367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013319367 |
| Entity Type | Individual |
| Full Name | SANDRA SMITH |
| Practice Address |
2329 North Marr Road Wow Clinic Columbus IN 47203 |
| Mailing Address |
925 Mallory Pkwy Franklin IN 46131-7734 |
| Practice Telephone | 8125784511 |
| Mailing Telephone | 3175607478 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
363LP2300X | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157172 | Sandra Smith | Massage Therapist | 468 N Pond Fork Rd, Westminster, SC 29693-3218 | 2020-08-31 |
| 1366055832 | Sandra Gayle Smith | Technician | 270 Hickory Ln, Augusta, WV 26704-8429 | 2020-08-25 |
| 1528693389 | Sandra Yvette Smith | Registered Nurse | 8222 Beach Way Dr, Blaine, WA 98230-9581 | 2020-03-11 |
| 1619435260 | Sandra Smith | Private Vehicle | 6074 Charles Ave, Fayetteville, NC 28311-1286 | 2019-03-03 |
| 1164905964 | Sandra Louise Smith | Social Worker | 12 White Pine Ln, Kingston, MA 02364-1046 | 2018-09-08 |
| 1932621711 | Sandra Smith | Community Health Worker | 7103 Nw 73rd Ave, Tamarac, FL 33321-5467 | 2017-07-12 |
| 1386049823 | Sandra M Smith | Chiropractor | 10620 N 38th St, Phoenix, AZ 85028-3414 | 2014-10-27 |
| 1154743649 | Sandra Mae Smith | Physical Therapy Assistant | 430 Lily Rd. Ne, Olympia, WA 98506 | 2014-01-17 |
| 1154754091 | Sandra Kelly Smith | Developmental Therapist | 8057 W Duane Dr, Frankfort, IL 60423-8102 | 2013-08-14 |
| 1992137681 | Sandra Kathleen Smith | Massage Therapist | 1255 Frank Rd, Belgrade, MT 59714-9050 | 2013-08-05 |
| Street Address |
2329 NORTH MARR ROAD WOW CLINIC |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649767955 | Sean Meador | Pharmacist | 3630 31st Street, Columbus, IN 47203 | 2018-04-23 |
| 1174939680 | Hana Hoffman | Occupational Therapist | 2625 Foxpointe Dr., Suite A, Columbus, IN 47203 | 2014-07-03 |
| 1801219209 | Michelle Ann Ballard | Alzheimer Center (Dementia Center) | 2564 Foxpointe Drive, Keepsake Village, Columbus, IN 47203 | 2014-01-22 |
| 1639454606 | Jaime Denise Miller | Physical Therapist | 2625 Foxpointe Dr. 3a, Columbus, IN 47203 | 2011-10-20 |
| 1538443155 | Jessica Paige Laymon | Social Worker | 1680 Whitney Court, Columbus, IN 47203 | 2011-09-30 |
| 1720375124 | Hannah C Burke | Physical Therapist | 2625 Foxpointe Dr, Columbus, IN 47203 | 2011-07-06 |
| 1033419437 | Patricia J. Lisinski | Physician Assistant | 2510 Sandcrest Drive, Columbus, IN 47203 | 2010-11-01 |
| 1245495175 | David Brent Gadberry | Registered Nurse | 2122 Sumpter Trl, Columbus, IN 47203 | 2008-07-21 |
| 1710003231 | Ellen H Rudolph | Dentist | 3200 Sycamore Ct. Suite 1-c, Columbus, IN 47203 | 2007-03-22 |
| 1154468270 | Daniel H Davis | Obstetrics & Gynecology | 2450 Northpark, Suite A, Columbus, IN 47203 | 2007-01-30 |
| Find all providers in zip 47203 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134766520 | Anthony Williams | Nurse Practitioner | 4633 Stratford Ln, Columbus, OH 43232-6179 | 2019-12-04 |
| 1144866336 | Amina Adan Mohamed | Nurse Practitioner | 3195 Pendleton Ct, Columbus, OH 43219-3248 | 2019-11-22 |
| 1902388218 | Hannah Atakorah | Nurse Practitioner | 4002 Armour Ave # 207, Columbus, GA 31904-5392 | 2018-09-04 |
| 1043798937 | David Benjamin Blankenbeckley | Nurse Practitioner | 3 Nationwide Plz Ste 150, Columbus, OH 43215 | 2018-08-01 |
| 1912364423 | Angela Gail Hunt | Nurse Practitioner | 105 Enterprise Ct, Columbus, GA 31904-3600 | 2016-01-28 |
| 1093155673 | Cynthia Kathleen Doughty | Nurse Practitioner | 2691 Sawbury Blvd, Columbus, OH 43235-4582 | 2013-06-27 |
| 1053757971 | Shannon Marie Greaker | Nurse Practitioner | 2050 Kenny Rd Ste 2500, Columbus, OH 43221-3502 | 2013-05-18 |
| 1053662874 | Jessi Lucas Hale | Nurse Practitioner | 6801 River Rd Ste 301, Columbus, GA 31904-3353 | 2012-09-20 |
| 1073744280 | Shelby Colquitt Smith | Nurse Practitioner | 6308 Adams Park Dr, Columbus, GA 31909-3528 | 2009-08-05 |
| 1386242139 | Mohammed Hussein | Nurse Practitioner | 4125 W Broad St, Columbus, OH 43228-1600 | 2020-10-14 |
| Find all providers in COLUMBUS | ||||
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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.