MS. MELISSA SMITH (NPI# 1053533208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053533208 |
| Entity Type | Individual |
| Full Name | MS. MELISSA SMITH |
| Credential | GNP |
| Practice Address |
1 Penn Plz Fl 8 New York NY 10119-0899 |
| Practice Telephone | 2017809907 |
| Mailing Telephone | 2017809907 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2015-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 493146-1 | NY | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 26NR13075600 | NJ | Nursing Service Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
26NJ00148300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
F340605-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS DEA | MS1133824 | 01 |
| NY | NYS GNP LICENSE | F340605 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801416409 | Melissa Suzanne Smith | Psychologist | 1000 Low Gap Rd, Ukiah, CA 95482-3737 | 2020-04-23 |
| 1003442047 | Melissa Smith | Speech-Language Pathologist | 1451 Rosewood Ave, Lakewood, OH 44107-3733 | 2020-03-22 |
| 1609417971 | Melissa Smith | Registered Nurse | 8601 Arbor St, Omaha, NE 68124-2149 | 2019-10-08 |
| 1568016798 | Melissa Dean Smith | Marriage & Family Therapist | 8106 Red Stone Hill Rd, Louisville, KY 40214-4614 | 2019-07-25 |
| 1710445150 | Melissa Hatton Smith | Dietitian, Registered | 3226 Greenwich Village Blvd Apt 102, Orlando, FL 32835-7575 | 2019-03-05 |
| 1134600869 | Melissa Maria Smith | Occupational Therapist | 1361 Shallowbend Dr, Midlothian, TX 76065-6972 | 2018-08-21 |
| 1851870604 | Melissa Smith | Registered Nurse | 212 Fernwood St, Bridge City, TX 77611-2328 | 2018-08-13 |
| 1699265017 | Melissa Ann Smith | Specialist/Technologist | 16620 S 48th St Unit 46, Phoenix, AZ 85048-1205 | 2018-05-10 |
| 1124559364 | Melissa Smith | Behavior Technician | 34119 Alameda Dr, Sorrento, FL 32776-6955 | 2017-03-21 |
| 1588019434 | Melissa Sue Smith | Optometrist | 1880 Kenneth Rd Ste 1, York, PA 17408-6344 | 2016-04-28 |
| Street Address |
1 PENN PLZ FL 8 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10119-0899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639184427 | Edith A Onua | Nurse Practitioner | 1 Penn Plz Fl 8, 8th Floor, New York, NY 10119-0899 | 2006-07-30 |
| 1659922235 | Donna Maratea | Nurse Practitioner | 1 Penn Plz Fl 8, New York, NY 10119-0899 | 2019-09-24 |
| 1831603919 | Whalynn Dominique-sanon | Nurse Practitioner | 1 Penn Plz Fl 8, New York, NY 10119-0899 | 2017-11-27 |
| 1144733965 | Jennifer T Schneck | Family Medicine | 1 Penn Plz Fl 8, New York, NY 10119-0899 | 2017-11-15 |
| 1114467958 | Chinyere Onunaku | Nurse Practitioner | 1 Penn Plz Fl 8, New York, NY 10119-0899 | 2017-02-27 |
| 1952855744 | Simone Jacqueline Watson-walke | Nurse Practitioner | 1 Penn Plz Fl 8, New York, NY 10119-0899 | 2016-08-09 |
| 1154784452 | Hyo Park | Nurse Practitioner | 1 Penn Plz Fl 8, New York, NY 10119-0899 | 2016-04-04 |
| 1972987576 | Christine Stepancic | Nurse Practitioner | 1 Penn Plz Fl 8, New York, NY 10119-0899 | 2015-07-13 |
| 1215378740 | Sean Michael Kelly | Nurse Practitioner | 1 Penn Plz Fl 8, New York, NY 10119-0899 | 2013-07-12 |
| 1174874762 | Yvonne E Trapp | Nurse Practitioner | 1 Penn Plz Fl 8, New York, NY 10119-0899 | 2012-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174933352 | Irina Boz | Registered Nurse | One Penn Plaza, Suite 725, New York, NY 10119 | 2014-04-28 |
| 1083955041 | Theodora C Raft | Nurse Practitioner | Optum One Penn Plaza, New York, NY 10119 | 2013-03-14 |
| 1912194358 | Rebeca Clerville Deratus | Nurse Practitioner | 1 Penn Plaza 7th Fl Ste 725, Evercare United Healthcare, New York, NY 10119 | 2007-10-01 |
| 1376759928 | Elizabeth M White | Nurse Practitioner | One Penn Plaza, 8th Floor, New York, NY 10119 | 2007-05-14 |
| 1457566291 | Ella Kats | Nurse Practitioner | Evercare - United Healthcare, 1 Penn Plaza, 7th Fl. Ste.725, New York, NY 10119 | 2007-05-14 |
| 1518007152 | Yonette R Hercules | Physician Assistant | One Penn Plaza, 7th Fl, Suite 725, New York, NY 10119 | 2007-02-06 |
| 1497806376 | Herminia Nueva Espana | Nurse Practitioner | 1 Penn Plaza 8th Fl, Optum, New York, NY 10119 | 2007-01-16 |
| 1285782367 | Rilande Herard | Physician Assistant | 1 Penn Plaza, 7th Fl, Ste. 725, Evercare, New York, NY 10119 | 2007-01-08 |
| 1629126719 | Any Itty | Nurse Practitioner | 1 Penn Plaza, 7th Fl. Ste. 725, Evercare, New York, NY 10119 | 2007-01-08 |
| 1174671267 | Christine Kenny | Nurse Practitioner | One Penn Plaza, 7th Fl, Ste 725, Evercare, New York, NY 10119 | 2007-01-08 |
| Find all providers in zip 10119 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184965295 | Julia Bevilacqua | Nurse Practitioner | 424 E 34th St Fl 16, New York, NY 10016-4901 | 2013-03-14 |
| 1225230956 | Shelly Dubin | Nurse Practitioner | 5141 Broadway Rm 3-013, New York, NY 10034-1159 | 2007-06-04 |
| 1225169584 | Michelle Hammer | Nurse Practitioner | 122 W 27th St, 6th Floor, New York, NY 10001-6227 | 2007-03-08 |
| 1568501211 | Yolanda Fleurantin | Nurse Practitioner | 1901 1st Ave # 13b4, New York, NY 10029-7404 | 2007-02-06 |
| 1871649269 | Linda P Dillman | Nurse Practitioner | 99 Fort Washington Ave, New York, NY 10032-4655 | 2007-01-26 |
| 1497806376 | Herminia Nueva Espana | Nurse Practitioner | 1 Penn Plaza 8th Fl, Optum, New York, NY 10119 | 2007-01-16 |
| 1720153646 | Marie Calma | Nurse Practitioner | 1 Penn Plaza, Evercare Ste. 725, New York, NY 10119 | 2006-11-24 |
| 1649376575 | Linda Marie Rimmer | Nurse Practitioner | 250 W 49th St, New York, NY 10019-7400 | 2006-09-16 |
| 1184656886 | Catherine Reyes Mondonedo | Nurse Practitioner | 607 Hudson St, New York, NY 10014-1876 | 2006-07-06 |
| 1922075738 | Siobhan Sundel | Nurse Practitioner | 1440 Madison Avenue, New York, NY 10029 | 2006-03-01 |
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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.