SHAWN M SMITH (NPI# 1073639167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073639167 |
| Entity Type | Individual |
| Full Name | SHAWN M SMITH |
| Practice Address |
1281 Fleming Ave San Jose CA 95127-3610 |
| Mailing Address |
139 Carl Ave Santa Cruz CA 95062-1321 |
| Practice Telephone | 4082596565 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593783 | Shawn Smith | Behavior Technician | 1905 Echols Ave, Clovis, NM 88101-4530 | 2019-08-12 |
| 1467879197 | Shawn Angelique Smith | Social Worker | 56 Beach St, Staten Island, NY 10304-2702 | 2014-03-19 |
| 1093137218 | Shawn Smith | Driver | 2971 E Larned St, Detroit, MI 48207-3905 | 2014-01-07 |
| 1932479284 | Shawn Smith | Specialist/Technologist, Other | 3202 W Calle Cereza, Tucson, AZ 85741-2927 | 2012-01-04 |
| 1144531542 | Shawn Smith | Registered Nurse | 434 Rockaway Pkwy, Brooklyn, NY 11212-3248 | 2010-06-30 |
| 1023335627 | Shawn Christopher Smith | Physician Assistant | 1432 S. Dobson Road, Suite 501, Mesa, AZ 85202 | 2010-04-23 |
| 1568795680 | Shawn S Smith | Counselor | 111 S George St Ste 3, Cumberland, MD 21502-3039 | 2009-09-08 |
| 1902967698 | Shawn M Smith | Physical Therapist | 1700 S Broadway St, Ste B, Moore, OK 73160-5300 | 2006-12-13 |
| 1063466449 | Shawn Robert Smith | Chiropractor | 2709 Athania Pkwy, Metairie, LA 70002-5903 | 2006-05-20 |
| 1285610071 | Shawn A Smith | Physician Assistant | 877b W Faris Rd, Greenville, SC 29605-4254 | 2005-12-22 |
| Street Address |
1281 FLEMING AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95127-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598271298 | Jeff Delke | Counselor | 1281 Fleming Ave, San Jose, CA 95127-3610 | 2017-12-18 |
| 1932578622 | Cads, Inc. | Substance Abuse Rehabilitation Facility | 1281 Fleming Ave, San Jose, CA 95127-3610 | 2015-09-23 |
| 1225203003 | Katherine A Gamez | Counselor | 1281 Fleming Ave, San Jose, CA 95127-3610 | 2008-04-23 |
| 1003080995 | Douglas Martin Hames | Counselor | 1281 Fleming Ave, San Jose, CA 95127-3610 | 2008-04-22 |
| 1124292024 | Ricky Anthony Martin | Counselor | 1281 Fleming Ave, San Jose, CA 95127-3610 | 2008-04-22 |
| 1427222322 | Antonio T Chavira Jr. | Counselor | 1281 Fleming Ave, San Jose, CA 95127-3610 | 2008-04-22 |
| 1316063407 | Victoria Wilcox | Counselor | 1281 Fleming Ave, San Jose, CA 95127-3610 | 2007-03-21 |
| 1861518995 | Donna Day | Counselor | 1281 Fleming Ave, San Jose, CA 95127-3610 | 2007-03-21 |
| 1194841189 | Jeremy Orcutt | Counselor | 1281 Fleming Ave, San Jose, CA 95127-3610 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635162 | Veronica Isabel Foggie | Massage Therapist | 3570 Ct, San Jose, CA 95127 | 2020-10-05 |
| 1235605528 | Melissa Ann Morgan | Case Manager/Care Coordinator | 428 N. White Rd., San Jose, CA 95127 | 2018-10-15 |
| 1386126621 | Alum Rock Counseling Center | Community/Behavioral Health | 14281 Story Road, San Jose, CA 95127 | 2018-09-04 |
| 1407359383 | Erin Rodriguez | Behavior Technician | 1593 Amesbury Way, San Jose, CA 95127 | 2018-03-16 |
| 1407209919 | Binita Dorce | Counselor | 14820 Mcvay Avenue, San Jose, CA 95127 | 2016-07-20 |
| 1851766448 | Lynn H Trieu | Pharmacist | 3200 Kawalker Ln, San Jose, CA 95127 | 2015-12-08 |
| 1184099723 | Royal Plus Home Care, Inc | In Home Supportive Care | 302-f Toyon Ave. #182, San Jose, CA 95127 | 2015-12-08 |
| 1710363916 | Chan Pham | Acupuncturist | 10048 Bethel Ave, San Jose, CA 95127 | 2015-08-11 |
| 1639574320 | Jesus I Yanez | Dentist | 100 South White Road Suite 210, San Jose, CA 95127 | 2014-10-24 |
| 1285051110 | Vinh Quang Tran | Pharmacist | 3478 Neves Way, San Jose, CA 95127 | 2014-03-28 |
| Find all providers in zip 95127 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1609412469 | Cathy Logie | Counselor | 2682 Coit Dr, San Jose, CA 95124-1611 | 2019-11-26 |
| 1831692722 | Nicholas Jordon Thompson | Counselor | 2218 North First Street, San Jose, CA 95131 | 2018-03-16 |
| 1376045591 | Michael Li | Counselor | 2202 N 1st St, San Jose, CA 95131-2007 | 2018-03-03 |
| 1104338805 | Sydney Louise Tai | Counselor | 1370 Tully Rd Ste 301, San Jose, CA 95122-3056 | 2017-11-02 |
| 1932624871 | Linh Tuyet Vong | Counselor | 760 Pelleas Ln, San Jose, CA 95127-1030 | 2017-08-12 |
| 1760907273 | Marina Marie Mendonca | Counselor | 650 S. Bascom Ave, San Jose, CA 95128 | 2017-08-04 |
| 1952825911 | Robert Martin Thomas | Counselor | 950 Julian St, San Jose, CA 95122 | 2017-08-01 |
| 1386171221 | Mia Yvone Jaurigue | Counselor | 151 W Mission St # A1, San Jose, CA 95110-1713 | 2017-05-22 |
| 1396296307 | Andres Lujan Jr. | Counselor | 1867 Senter Rd, San Jose, CA 95112-2527 | 2016-10-14 |
| Find all providers in SAN JOSE | ||||
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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.