ELISABETH SMITH (NPI# 1093187338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093187338 |
| Entity Type | Individual |
| Full Name | ELISABETH SMITH |
| Credential | M.A. |
| Practice Address |
6692 Spring Arbor Rd Jackson MI 49201-9322 |
| Mailing Address |
4610 Walz Rd Jackson MI 49201-9689 |
| Practice Telephone | 5173158435 |
| Mailing Telephone | 5173158435 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2016-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301016438 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851822399 | Elisabeth Smith | Nurse Practitioner | 6550 Fannin St Ste 1601, Houston, TX 77030-2717 | 2017-03-26 |
| 1891199055 | Elisabeth Ann Smith | Social Worker | 2760 3rd St, Ceres, CA 95307-3235 | 2014-10-17 |
| 1427310861 | Elisabeth Bennett Smith | Physician Assistant | 4306 Harding Rd, Suite 106, Nashville, TN 37205-3593 | 2012-06-12 |
| 1669516720 | Elisabeth A Smith | Psychiatry & Neurology | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-02-20 |
| Street Address |
6692 SPRING ARBOR RD |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-9322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558475012 | Brent Roderick Smith | Psychologist | 6692 Spring Arbor Rd, Jackson, MI 49201 | 2006-08-19 |
| 1003372368 | Chelsea Kae Wells | Psychologist | 6692 Spring Arbor Rd, Jackson, MI 49201-9322 | 2019-02-12 |
| 1427540913 | Randall Eric Cole | Counselor | 6692 Spring Arbor Rd, Jackson, MI 49201-9322 | 2018-05-31 |
| 1407392731 | Matthew Smith | Psychologist | 6692 Spring Arbor Rd, Jackson, MI 49201-9322 | 2017-01-10 |
| 1366860470 | Kelly Tervol | Counselor | 6692 Spring Arbor Rd, Jackson, MI 49201-9322 | 2014-04-04 |
| 1336576073 | Lissa Lynn Cole | Counselor | 6692 Spring Arbor Rd, Jackson, MI 49201-9322 | 2013-09-26 |
| 1942549779 | Bethany Kaye Saunders | Counselor | 6692 Spring Arbor Rd, Jackson, MI 49201-9322 | 2013-02-14 |
| 1538423678 | Jamie Lea Lee | Counselor | 6692 Spring Arbor Rd, Jackson, MI 49201-9322 | 2012-07-03 |
| 1295051514 | Joell Lavonne Sanchez-deleon | Psychologist | 6692 Spring Arbor Rd, Jackson, MI 49201-9322 | 2010-04-12 |
| 1336475177 | Rachel Flowers | Social Worker | 6692 Spring Arbor Rd, Jackson, MI 49201-9322 | 2009-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043756174 | Maribeth L. Hesser | Psychologist | 6675 N Upper Cascade Dr, Jackson, WY 83001-9390 | 2017-01-12 |
| 1215375746 | Payne Behavioral Medicine | Psychologist | 4005 N State St Ste N, Jackson, MS 39206-5755 | 2013-06-06 |
| 1598002610 | Kimberly D Weaver | Psychologist | 207 First Street, Jackson, MI 49201 | 2013-01-09 |
| 1497027775 | Fitness Clinic | Psychologist | 2219 Greenway Dr, Jackson, MS 39204-3202 | 2012-02-02 |
| 1760752976 | Mitchell S. Weisbrod, Psy.d., Pllc | Psychologist | 115 S West Ave Ste 1, Jackson, MI 49201-2085 | 2012-01-04 |
| 1275830887 | Martin E Cleveland Phd Pllc | Psychologist | 5 Brentmeade Cv, Jackson, TN 38305-6448 | 2011-02-16 |
| 1154636611 | Shannon Monique Moore | Psychologist | 1675 Lakeland Dr Ste 304, Jackson, MS 39216 | 2010-08-09 |
| 1598076903 | Nanetta S Payne | Psychologist | 4005 N State St, Suite N, Jackson, MS 39206-5755 | 2010-06-30 |
| 1932422763 | Marion Counseling Services, Pllc | Psychologist | 2095 Dunbarton Dr, Suite 103, Jackson, MS 39216-5017 | 2010-03-08 |
| 1457548737 | Deborah Ruddy Hansen | Psychologist | 6 Universal Way, Jackson, MI 49202-1455 | 2007-10-01 |
| Find all providers in JACKSON | ||||
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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.