JACQUELINE MARIE SMITH (NPI# 1013353432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013353432 |
| Entity Type | Individual |
| Full Name | JACQUELINE MARIE SMITH |
| Credential | CTRS |
| Practice Address |
2616 Erwin Ave Dupont WA 98327-8758 |
| Mailing Address |
2616 Erwin Ave Dupont WA 98327 |
| Practice Telephone | 9519669949 |
| Mailing Telephone | 9519669949 |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503543 | Jacqueline Maree Smith | Counselor | 8877 Frankway Dr Apt 4442, Houston, TX 77096-1909 | 2020-09-18 |
| 1336761816 | Jacqueline Smith | Behavior Technician | 2810 Premiere Pkwy, Duluth, GA 30097-5014 | 2020-05-07 |
| 1659925337 | Jacqueline Gajewski Smith | Nurse Practitioner | 130 Se Crestwood Cir, Stuart, FL 34997-7438 | 2019-07-30 |
| 1639737810 | Jacqueline Brooks Smith | Registered Nurse | 3570 Cherry Run Rd, Rimersburg, PA 16248-5628 | 2019-06-03 |
| 1366907941 | Jacqueline Lynette Smith | Student in an Organized Health Care Education/Training Program | 9258 Culebra Rd Ste 140, San Antonio, TX 78251-2877 | 2019-02-07 |
| 1902256373 | Jacqueline Smith | Speech-Language Pathologist | 1110 Chestnut St, Fremont, OH 43420-4312 | 2016-06-16 |
| 1225405293 | Jacqueline Deana Smith | Registered Nurse | 3187 E Hudson St, Columbus, OH 43219-1632 | 2015-08-26 |
| 1174999395 | Jacqueline A Smith | Home Health | 3730 Fm 1960 Rd W Ste 210, Houston, TX 77068-3508 | 2015-08-12 |
| 1255710851 | Jacqueline Smith | Counselor | 40 Dimock Services, Roxbury, MA 02119-0000 | 2015-05-28 |
| 1578906368 | Jacqueline Michelle Smith | Occupational Therapy Assistant | 3510 E Hampton Ave, #88, Mesa, AZ 85204-6430 | 2013-04-10 |
| Street Address |
2616 ERWIN AVE |
| City | DUPONT |
| State | WA |
| Zip Code | 98327-8758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683610 | Kathryn Michele Hines | Behavior Technician | 1570 Wilmington Dr #220, Dupont, WA 98327 | 2019-05-09 |
| 1841785730 | Ethan Earl Tindall | Dentist | 9900 Lincoln St, 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2018-06-25 |
| 1962996272 | William Thomas Frei | Dentist | 9900 Lincoln St, 2nd Floor, Attn: Credentials Office, Us Army Dentac, Tacoma, WA 98327 | 2018-06-20 |
| 1659873453 | Jacqueline Patrick | Dental Assistant | 9900 Lincoln Street, 2nd Florr, Us Army Dentac, Tacoma, WA 98327 | 2018-03-07 |
| 1215436431 | Careage Home Health LLC | Home Health | 1600 Marshall Circle, Dupont, WA 98327 | 2018-02-02 |
| 1649621400 | Charles Walter Woodruff II | Dentist | Joint Base Lewis-mccord Dentac, Dental Clinic 3, Jblm, WA 98327 | 2016-06-23 |
| 1164898532 | Richard Lauderback | Dentist | 9900 Lincoln Street, 2nd Floor, Attn: Credentials Office, Tacoma, WA 98327 | 2015-08-19 |
| 1639552110 | Philip Henzlik | Dentist | 9900 Lincoln St. 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2015-07-02 |
| 1861731739 | Elizabeth Brooke Stout | Behavioral Analyst | 1570 Wilmington Drive, Ste 220, Dupont, WA 98327 | 2013-02-12 |
| 1184902116 | Lidiya Kozlova | Massage Therapist | 5006 Center St Dr Ste N, Aim Physical Therapy, Tacoma, WA 98327 | 2011-07-25 |
| Find all providers in zip 98327 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192567 | Chelsey Michelle Pangborn | Recreation Therapist | 4815 N Assembly St Bldg 31, Spokane, WA 99205-6185 | 2020-10-22 |
| 1629624424 | Helda K Fuchs | Recreation Therapist | 9119 E Boone Ave Ste C, Spokane Valley, WA 99206-4061 | 2019-08-16 |
| 1154883338 | Northwest Fishing Partner Registry | Recreation Therapist | 9028 11th Pl W, Everett, WA 98204-2693 | 2019-04-05 |
| 1730653692 | John Welker | Recreation Therapist | 1312 N Monroe St Ste 114, Spokane, WA 99201-2623 | 2019-01-14 |
| 1326526054 | Mani Dhami | Recreation Therapist | 31423 48th Ave S, Auburn, WA 98001-3718 | 2018-08-03 |
| 1689113631 | William Hawkes-robinson | Recreation Therapist | 1432 W Lawrence Dr, Spokane, WA 99218-2446 | 2017-02-22 |
| 1033500418 | Tyneshia C Alexander | Recreation Therapist | 10427 19th Ave Se Apt B, Everett, WA 98208-4261 | 2015-02-06 |
| 1184066730 | Ann Christine Powell | Recreation Therapist | 4727 S Assembly Rd, Spokane, WA 99224-5925 | 2013-07-24 |
| 1871600478 | Vicki M Booth | Recreation Therapist | 9900 Veterans Dr, A-116-dom, Tacoma, WA 98493 | 2006-08-23 |
| 1720008337 | Mary Ann Varnum | Recreation Therapist | 9001 22nd Avenue Nw, Seattle, WA 98117-2712 | 2006-07-20 |
| Find all providers with the same taxonomy | ||||
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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.