CHRISTINA DICARLO SMITH (NPI# 1043652118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043652118 |
| Entity Type | Individual |
| Full Name | CHRISTINA DICARLO SMITH |
| Other Name | CHRISTINA DICARLO |
| Credential | PA |
| Practice Address |
130 Mallard St Greenville SC 29601-4046 |
| Mailing Address |
Po Box 287 Greenville SC 29602-0287 |
| Practice Telephone | 8642331534 |
| Practice Fax Number | 8647510479 |
| Mailing Telephone | 8642331534 |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2016-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1969 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | TL1969 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1709PA | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546567 | Christina Autumn Smith | Technician | 27062 N 178th Ave, Surprise, AZ 85387-1077 | 2019-09-05 |
| 1699242479 | Christina Ann Smith | Licensed Vocational Nurse | 345 County Road 3705, Bullard, TX 75757-7933 | 2018-10-30 |
| 1629561477 | Christina Yvette Smith | Nurse Practitioner | 1336 N Galloway Ave Ste 124, Mesquite, TX 75149 | 2018-06-07 |
| 1851823249 | Christina Smith | Physical Therapist | 9003 Tweed Rd, Richmond, VA 23228-1507 | 2017-04-03 |
| 1760923403 | Christina Louise Smith | Occupational Therapy Assistant | 312 William Clark Dr, Dardenne Prairie, MO 63368-8394 | 2017-03-14 |
| 1548709553 | Christina Smith | Massage Therapist | 20 Trafalgar St, Rochester, NY 14619-1222 | 2017-02-23 |
| 1740734334 | Christina Lynn Smith | Nurse Practitioner | 3001 58th Ter E, Bradenton, FL 34203-5374 | 2016-08-11 |
| 1184093205 | Christina Smith | Case Manager/Care Coordinator | 14300 N May Ave Apt 6103, Oklahoma City, OK 73134-5055 | 2015-09-18 |
| 1104214436 | Christina Smith | Speech-Language Pathologist | 304 E South St Unit 5025, Orlando, FL 32801-3502 | 2015-01-09 |
| 1730581729 | Christina Marie Smith | Nursing Care | 2030 Parkamo Ave, Village of Indian Springs, OH 45015-1274 | 2014-09-22 |
| Street Address |
130 MALLARD ST |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29601-4046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205949757 | New Horizon Family Health Services, Inc. | Clinic/Center | 130 Mallard St, Greenville, SC 29601-4046 | 2006-08-17 |
| 1912543836 | New Horizon Family Health Services, Inc. | Clinic/Center | 130 Mallard St, Greenville, SC 29601-4046 | 2019-11-26 |
| 1992194146 | Lauren Isley | Nurse Practitioner | 130 Mallard St, Greenville, SC 29601-4046 | 2015-01-12 |
| 1033547682 | Shakira Lynn | Nurse Practitioner | 130 Mallard St, Greenville, SC 29601-4046 | 2013-10-17 |
| 1265775613 | Melody Curtis | Pharmacist | 130 Mallard St, Greenville, SC 29601-4046 | 2013-04-04 |
| 1083958490 | Rebecka Mclaurin Rollins | Nurse Practitioner | 130 Mallard St, Greenville, SC 29601-4046 | 2012-11-26 |
| 1487908737 | Jessica Sebok | Registered Nurse | 130 Mallard St, Greenville, SC 29601-4046 | 2012-11-07 |
| 1245583061 | Tara Ta-nisha Mosley | Pharmacist | 130 Mallard St, Greenville, SC 29601-4046 | 2012-10-17 |
| 1902166937 | Carol Bias Jones | Pharmacist | 130 Mallard St, Greenville, SC 29601-4046 | 2012-05-24 |
| 1235405168 | Pamela S Pursley | Pharmacist | 130 Mallard St, Greenville, SC 29601-4046 | 2012-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700305620 | True Sleep Diagnostics | Clinic/Center | 220 North Main St Ste 500, Pmb 104, Greenville, SC 29601 | 2017-09-12 |
| 1245786813 | Yvette Ombougno | Registered Nurse | 200 University Ridge, Greenville, SC 29601 | 2016-09-01 |
| 1477921823 | Laura Gore Siefert | Registered Nurse | 1 Saint Francis Drive, Greenville, SC 29601 | 2015-09-02 |
| 1821493826 | Sarah Fuller | Counselor | 602 Pettigru St, Greenville, SC 29601 | 2014-11-03 |
| 1689088932 | Chenille Taylor | Nurse Practitioner | 201 N. Main Street, Greenville, SC 29601 | 2014-06-15 |
| 1861827842 | Caritas Counseling Services LLC | Community/Behavioral Health | 111 Hampton Avenue, St Mary's Catholic Church, Greenville, SC 29601 | 2013-09-09 |
| 1568790335 | Lynn A. Victory | Counselor | 710 Pettigru Street, The Cottage, Greenville, SC 29601 | 2009-12-06 |
| 1386971448 | Lisa Speach | Nurse Practitioner | 3 St. Francis Drive, Suite 300, Greenville, SC 29601 | 2009-11-11 |
| 1851528418 | Adam Shawn Riffle | Specialist/Technologist | 175 Patewood Drive, Greenville, SC 29601 | 2009-06-22 |
| 1114178332 | Margaret W. Lee | Psychologist | 412 Pettigru St., Suite C, Greenville, SC 29601 | 2008-10-07 |
| Find all providers in zip 29601 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924977 | Caitlyn N Jetter | Physician Assistant | 7238 N State Route 49, Greenville, OH 45331-8302 | 2020-08-29 |
| 1720618291 | Kaitlin Stover | Physician Assistant | 3444 Briarcliff Dr Apt K, Greenville, NC 27834-5419 | 2020-01-23 |
| 1962044321 | Tyler Robert Tefft | Physician Assistant | 25 Draper St Apt 129, Greenville, SC 29611-4786 | 2019-10-17 |
| 1780157842 | Briana Welch Denton | Physician Assistant | 2101 W Arlington Blvd # 100, Greenville, NC 27834-5758 | 2019-01-10 |
| 1548732027 | Jennifer Pedersen | Physician Assistant | 14314 Canter Trl, Greenville, SC 29609-0964 | 2018-12-21 |
| 1972089092 | Sarah Eileen Mann | Physician Assistant | 315 Greenville Blvd Se Ste 100, Greenville, NC 27858-5733 | 2018-07-11 |
| 1134588478 | Sarah Roeser | Physician Assistant | 2090 W Arlington Blvd Ste B, Greenville, NC 27834-5727 | 2016-02-15 |
| 1992177760 | Robert Chapman | Physician Assistant | 126 Milestone Way, Greenville, SC 29615-5065 | 2015-10-20 |
| 1497137756 | Alexandra Brooks | Physician Assistant | 2706 Aileen St Ste B, Greenville, TX 75402-6486 | 2015-06-23 |
| 1558776633 | David Jonathan Cutter | Physician Assistant | 1202 W Oak St Ste 200, Greenville, MI 48838-2155 | 2014-06-26 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29601 |
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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.