BONNIE KELLAM SMITH (NPI# 1053518894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053518894 |
| Entity Type | Individual |
| Full Name | BONNIE KELLAM SMITH |
| Credential | WHCNP |
| Practice Address |
4600 Gulf Fwy Houston TX 77023-3548 |
| Practice Telephone | 7135223976 |
| Practice Fax Number | 4044947435 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN112114 | LA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | RN452065 | TX | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP103014 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP04701 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0708125-03 | 05 | |
| LA | 1815365 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427484419 | Bonnie Smith | Chore Provider | 39065 Red Hill Street, Sterling, AK 99672 | 2013-09-23 |
| 1669819249 | Bonnie Ann Smith | Occupational Therapist | 60 Parkhurst Dr., Pontiac, MI 48342 | 2013-05-23 |
| 1619183233 | Bonnie Lynn Smith | Physical Therapy Assistant | 1000 S. 12 Ave., Yvcc Sherar Gymnasium, Yakima, WA 98902-2521 | 2007-05-14 |
| 1144398330 | Bonnie Jo Smith | Nurse Practitioner | 59 College Avenue, Barnhart Memorial Student Health Center West Virginia W, Buckhannon, WV 26201-2600 | 2006-12-04 |
| 1831290576 | Bonnie Smith | Speech-Language Pathologist | 4122 Library St, Port Charlotte, FL 33948-2275 | 2006-09-26 |
| 1306865084 | Bonnie Smith | Family Medicine | 115 E Walnut St, Fairbury, IL 61739-1516 | 2006-07-19 |
| 1558869412 | Bonnie Smith | Registered Nurse | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2018-01-25 |
| 1750826921 | Bonnie Smith | Case Manager/Care Coordinator | 213 W Broadway Ave, Elk City, OK 73644-4741 | 2016-12-27 |
| 1407207574 | Bonnie Smith | Voluntary or Charitable | 3535 Quakerbridge Rd, Suite 201, Hamilton, NJ 08619-1200 | 2016-06-29 |
| 1669829776 | Bonnie Smith | Family Medicine | 2355 S Western Ave, Chicago, IL 60608-3837 | 2016-05-18 |
| Street Address |
4600 GULF FWY |
| City | HOUSTON |
| State | TX |
| Zip Code | 77023-3548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659316198 | Merrill Sue Lewen | Obstetrics & Gynecology | 4600 Gulf Fwy, Houston, TX 77023-3548 | 2006-06-18 |
| 1861058596 | Monette Chery | Registered Nurse | 4600 Gulf Fwy, Houston, TX 77023 | 2019-05-17 |
| 1851892004 | Lamonia Parker | Nurse Practitioner | 4600 Gulf Fwy, Houston, TX 77023-3548 | 2018-02-23 |
| 1457744567 | Erica A Smith | Nurse Practitioner | 4600 Gulf Fwy, Suite 100, Houston, TX 77023-3548 | 2015-03-13 |
| 1649662594 | Lashonda Lynn Crane | Nurse Practitioner | 4600 Gulf Fwy, Houston, TX 77023-3548 | 2015-03-02 |
| 1629490834 | Victoria Nkiru Williams | Registered Nurse | 4600 Gulf Fwy, Houston, TX 77023-3548 | 2014-01-08 |
| 1841548476 | Alyssa Trujillo O'brien | Nurse Practitioner | 4600 Gulf Fwy, Houston, TX 77023-3548 | 2012-08-29 |
| 1518222991 | Kirsten Cochran Galtney | Registered Nurse | 4600 Gulf Fwy, Houston, TX 77023-3548 | 2012-07-11 |
| 1447537121 | Louise Holman Bateman | Nurse Practitioner | 4600 Gulf Fwy, Houston, TX 77023-3548 | 2011-11-09 |
| 1427334002 | Bette Chenault | Clinical Nurse Specialist | 4600 Gulf Fwy, Houston, TX 77023-3548 | 2011-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821551524 | Adriana Castaneda Solorzano | Nurse Practitioner | 2002 South Wayside Buidling B, Houston, TX 77023 | 2019-04-09 |
| 1336601392 | Amber Lucas | Registered Nurse | 5425 Polk Street Suite J, Houston, TX 77023 | 2019-04-01 |
| 1609297944 | Barcacel Eye & Vision Pllc | Optometrist | 7103 Lawndale, Houston, TX 77023 | 2014-01-03 |
| 1669813002 | Cindy Campos Solorzano | Nurse Practitioner | 5402 Lawndale Street, Houston, TX 77023 | 2013-07-15 |
| 1831430982 | Jayme C Smith | Counselor | 5402 Lawndale St., Kipp: 2 Kipp Rotation, Houston, TX 77023 | 2013-03-13 |
| 1184980534 | Select Quality Medical Services | Clinic/Center | 6200 Gulf Freeway, Houston, TX 77023 | 2012-04-10 |
| 1386921518 | Joan Elizabeth Mcgee | Registered Nurse | 4600 Gulf Freeway, Houston, TX 77023 | 2011-11-16 |
| 1770718124 | Gulf Central Medical | Chiropractor | 2130 Gulf Central Drive, Houston, TX 77023 | 2009-05-28 |
| 1639346042 | Douglas Lee Giles | Dentist | 2206 Munger St, Houston, TX 77023 | 2008-05-14 |
| 1518139062 | Byron Frederick Weinle | Dentist | 910 S Wayside Suite 300, Houston, TX 77023 | 2008-03-25 |
| Find all providers in zip 77023 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600164 | Emily Medley | Nurse Practitioner | 2652 Westgate St, Houston, TX 77098-1412 | 2018-12-17 |
| 1760962526 | Jasmine J Sacus | Nurse Practitioner | 5800 Bellaire Blvd., Bldg. 1b, Ste. 120, Houston, TX 77081-5537 | 2018-08-20 |
| 1063892107 | Sherill D. Kennedy | Nurse Practitioner | 2617 W Holcombe Blvd, Houston, TX 77025-1757 | 2015-06-03 |
| 1700144623 | Sylvia Ann Poe-velasco | Nurse Practitioner | 6400 Fannin St Ste 1900, Houston, TX 77030-1528 | 2012-04-28 |
| 1093082158 | Rachel Alline Naegeli | Nurse Practitioner | 4600 Gulf Fwy Ste 100, Houston, TX 77023-3548 | 2011-11-17 |
| 1689963720 | Narmadha Peter | Nurse Practitioner | 807 Orchard Peak Ct, Houston, TX 77062-2167 | 2011-03-29 |
| 1356503353 | Lesley Nichole Launikitis | Nurse Practitioner | 3601 Fannin St, Houston, TX 77004-3913 | 2008-06-30 |
| 1932394541 | Sara M Dean | Nurse Practitioner | 6651 Main St Ste F420, Houston, TX 77030 | 2007-09-07 |
| 1336218981 | Rebecca Sue Runyan Dowdy | Nurse Practitioner | 15003 Fm 529 Rd, Ste A, Houston, TX 77095-4375 | 2006-11-07 |
| 1255419644 | Deallen Burse | Nurse Practitioner | 14412 Jasmine Terrace Ln, Houston, TX 77047-2979 | 2006-11-01 |
| Find all providers in HOUSTON | ||||
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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.