TYMOTHY SMITH (NPI# 1023678901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023678901 |
| Entity Type | Individual |
| Full Name | TYMOTHY SMITH |
| Credential | LAC |
| Practice Address |
920 Samoa Blvd Ste 222 Arcata CA 95521-6696 |
| Mailing Address |
Po Box 769 Redway CA 95560-0769 |
| Practice Telephone | 7076162086 |
| Mailing Telephone | 7079232783 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 12064 | CA | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 West Coast Rd., Redway, CA 955609556 | 7079232783 | |
| 2620 Central Ave, Mckinleyville, CA 955193619 | 7076305222 |
| Street Address |
920 SAMOA BLVD STE 222 |
| City | ARCATA |
| State | CA |
| Zip Code | 95521-6696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553736 | Mcc Medical, LLC | Durable Medical Equipment & Medical Supplies | Mcc Medical, LLC, 1565 J Street, Arcata, CA 95521 | 2019-08-16 |
| 1376008599 | Nathan Klier | Behavior Technician | 901 Ost, Arcata, CA 95521 | 2019-02-01 |
| 1740753995 | Maria Sophia Stathos | Behavior Technician | 901 0 Street, Suite C, Arcata, CA 95521 | 2019-01-09 |
| 1639674146 | Choong Yuk Kim | Psychologist | 381 Bayside Rd Ste B, Arcata, CA 95521 | 2018-03-27 |
| 1194089805 | Gary Wilson Barsuaskas | Nurse Practitioner | 4677 Valley West Blvd., Arcata, CA 95521 | 2012-06-27 |
| 1265708424 | Alison Marie Palacios | Family Medicine | 3798 Janes Rd. Suite 10, Arcata, CA 95521 | 2012-03-31 |
| 1538434857 | Kristen Noell Kelley | Behavioral Analyst | 901 O Street, Suite C, Arcata, CA 95521 | 2012-03-20 |
| 1518241264 | Brian D. Lieberman | Psychologist | 730 Bayside Rd, Apt A, Arcata, CA 95521 | 2011-09-29 |
| 1427369412 | John S Yamas | Acupuncturist | 1460 G. Street, Arcata, CA 95521 | 2010-06-24 |
| 1669619391 | Kevin John Mcalerney | Massage Therapist | 770 11th Street, Lost Coast Healing Arts, Arcata, CA 95521 | 2009-01-16 |
| Find all providers in zip 95521 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376045047 | Donald Charles Hughes IIi | Acupuncturist | 2557 Chestnut Pl Apt A, Arcata, CA 95521-5072 | 2018-03-08 |
| 1427369412 | John S Yamas | Acupuncturist | 1460 G. Street, Arcata, CA 95521 | 2010-06-24 |
| 1124271499 | Sheridan Michelle Richardson | Acupuncturist | 34 Sunnybrae Center, Arcata, CA 95521 | 2008-10-30 |
| 1548314768 | Lynda Ann Mcdevitt | Acupuncturist | 739 10th St, Arcata, CA 95521-6209 | 2007-01-23 |
| 1952452336 | I Marlene Smith | Acupuncturist | 34 Sunnybrae Ctr, Arcata, CA 95521-6742 | 2007-01-14 |
| 1881187813 | Cristina Paula America | Acupuncturist | 1433 11th St Ste F, Arcata, CA 95521-5712 | 2018-06-13 |
| 1306204300 | The Tree of Life Acupuncture | Acupuncturist | 1460 G St, Arcata, CA 95521-5610 | 2016-02-04 |
| 1245675438 | Stacey Diane Kett | Acupuncturist | 735 12th St, Arcata, CA 95521-5865 | 2013-05-01 |
| 1376890954 | Alyssa Melody | Acupuncturist | 940 9th St, Arcata, CA 95521-6113 | 2012-08-13 |
| 1780962076 | Jade Dragon Medical Spa | Acupuncturist | 827 Bayside Rd, Arcata, CA 95521-6403 | 2011-08-03 |
| Find all providers in ARCATA | ||||
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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.