KIMBERLY SMITH (NPI# 1043589849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043589849 |
| Entity Type | Individual |
| Full Name | KIMBERLY SMITH |
| Credential | NNP |
| Practice Address |
600 Roe Ave Elmira NY 14905-1629 |
| Practice Telephone | 6077374543 |
| Practice Fax Number | 6077377774 |
| Mailing Telephone | 6077374223 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2012-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
0001232302 | VA | Nursing Service Providers |
| N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
571761 | NY | Nursing Service Providers |
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
350346 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496443 | Kimberly A Smith | Counselor | 2764 Teakwood Ln, Plano, TX 75075-9100 | 2020-10-30 |
| 1437703212 | Kimberly L Smith | Massage Therapist | 2707 Silesia Ln Apt C, Bellingham, WA 98226-3664 | 2019-07-30 |
| 1831651298 | Kimberly A Smith | Hearing Instrument Specialist | 954 E Main St, Chillicothe, OH 45601-2844 | 2019-04-04 |
| 1467916437 | Kimberly Alicia Smith | Family Medicine | 4000 Mitchellville Rd Ste A308, Bowie, MD 20716-3135 | 2019-01-24 |
| 1891296901 | Kimberly Diane Smith | Acupuncturist | 11110 Ohio Ave Ste 105, Los Angeles, CA 90025-6345 | 2018-02-23 |
| 1184140881 | Kimberly Denise Smith | Peer Specialist | 720 14th Ave Fl 2, Longview, WA 98632-2315 | 2017-08-15 |
| 1285164897 | Kimberly Smith | Contractor | 2607 Lakebriar St, San Antonio, TX 78222 | 2017-06-15 |
| 1912458092 | Kimberly Grace Smith | Speech-Language Pathologist | 220 Lincoln Pl, Apt 2f, Brooklyn, NY 11217-3761 | 2016-10-24 |
| 1922553171 | Kimberly Smith | Licensed Practical Nurse | 4432 Drexel St, Detroit, MI 48215-3346 | 2016-08-17 |
| 1144673476 | Kimberly B. Smith | Speech-Language Pathologist | 39341 Jason St, Prairieville, LA 70769-4614 | 2016-07-21 |
| Street Address |
600 ROE AVE |
| City | ELMIRA |
| State | NY |
| Zip Code | 14905-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629768 | Ziya Bilen | Internal Medicine | 600 Roe Ave, Elmira, NY 14905-1629 | 2005-06-20 |
| 1619583697 | Kelsey Ann Young | Physician Assistant | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-09-16 |
| 1053933499 | Branden Riggins | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-05-08 |
| 1184245664 | Bradley Steven Phelps | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1676 | 2020-05-06 |
| 1497376263 | Lucas Edward Place | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-05-02 |
| 1568083475 | John Michael Yavorski IIi | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1676 | 2020-05-01 |
| 1083235139 | Devin Craig Thompson | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-29 |
| 1538780887 | Alexandra Helena Sheriff | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-28 |
| 1801417217 | Fatima Asfia Qadri | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-27 |
| 1376163386 | Jaskarn Virk | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780234146 | Theron Bennett | Technician | 900 West First Street, Elmira, NY 14905 | 2019-09-18 |
| 1558893792 | Zhezheng Li | Student in an Organized Health Care Education/Training Program | 600 Roe Street, Elmira, NY 14905 | 2017-03-28 |
| 1932555885 | Mitchell Pearce | Student in an Organized Health Care Education/Training Program | 602 Ivy Street, Elmira, NY 14905 | 2016-05-10 |
| 1982974465 | Chris Cook | Registered Nurse | 110 Hendy Ave, Elmira, NY 14905 | 2011-12-30 |
| 1578795290 | Richard Grinstead | Radiology | Arnot Ogden Medical Center, 600 Roe Ave, Elmira, NY 14905 | 2009-08-13 |
| 1033343967 | Janice Elaine Jackson | Registered Nurse | 1135 Hoffman Street, Elmira, NY 14905 | 2009-05-06 |
| 1598823361 | Obrien Hearing Aid Center | Hearing Aid Equipment | 227 Hoffman St, Elmira, NY 14905 | 2006-12-05 |
| 1487712634 | Robert Gordon Lyon | Dentist | 208 Walnut Street, Elmira, NY 14905 | 2006-12-04 |
| 1215009600 | Twin Tiers Dental Pllc | Dentist | 420 West Water St, Elmira, NY 14905 | 2006-11-14 |
| 1356432348 | Womens Health Services of Elmira | Obstetrics & Gynecology | 600 Fitch St Su 102, Elmira, NY 14905 | 2006-09-27 |
| Find all providers in zip 14905 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295207306 | Donald Panella | Nurse Practitioner | 514 W 170th St Apt 33, New York, NY 10032-3644 | 2018-12-31 |
| 1528533437 | Mary Liji Kalathara | Nurse Practitioner | 12 Fairmont Ave, Ardsley, NY 10502-1618 | 2018-10-06 |
| 1407341340 | Shaquana Barham | Nurse Practitioner | 5704 Farragut Rd Apt 6e, Brooklyn, NY 11234-1255 | 2018-06-23 |
| 1952811168 | Adriann Combs | Nurse Practitioner | 259 First Street, Pediatrics/neonatology, Mineola, NY 11501 | 2017-10-03 |
| 1992228654 | Amber Marie Scherf | Nurse Practitioner | 3959 Broadway Dept Of, New York, NY 10032-1559 | 2017-07-24 |
| 1659818680 | Rada Korman | Nurse Practitioner | 2180 Smith St, Merrick, NY 11566-3616 | 2017-01-29 |
| 1053779678 | Miriam Schmalberg-baum | Nurse Practitioner | 750 Crown St, Apt 2b, Brooklyn, NY 11213-5442 | 2016-02-10 |
| 1952786469 | Sonya Dijon James | Nurse Practitioner | 321 Avenue C, Apt 9c, New York, NY 10009-1628 | 2015-07-26 |
| 1912287871 | Jane Dolson Lanusse | Nurse Practitioner | 47 New Sctlnd Ave, Albany, NY 12208-3412 | 2011-08-24 |
| 1447483573 | Lillian Ann Hope | Nurse Practitioner | 535 Dean St, #908, Brooklyn, NY 11217-2172 | 2009-08-24 |
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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.