LOIS EILEEN SMITH (NPI# 1104392935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104392935 |
| Entity Type | Individual |
| Full Name | LOIS EILEEN SMITH |
| Credential | CDP |
| Practice Address |
Coyote Ridge Correction Center 1301 North Ephrata Ave. Connell WA 99326 |
| Mailing Address |
13242 Road 24 Sw Mattawa WA 99349-7205 |
| Practice Telephone | 5095435921 |
| Mailing Telephone | 5093800042 |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60080431 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003200940 | Lois Smith | Licensed Practical Nurse | 33 Penstock Ln, Lake Katrine, NY 12449-5236 | 2015-03-27 |
| 1780718478 | Lois Arleta Smith | Case Manager/Care Coordinator | 1095 Nickerson St, Waynoka, OK 73860-1252 | 2007-03-15 |
| 1902936297 | Lois Smith | Technician | 5832 Monterrey Dr, Fort Worth, TX 76112-3980 | 2007-03-06 |
| 1467710079 | Lois Smith | Durable Medical Equipment & Medical Supplies | 16618 Wood St, Markham, IL 60428-5829 | 2012-05-02 |
| 1639269616 | Lois Eh Smith | Ophthalmology | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-10-13 |
| 1154418432 | Lois Kachwer Smith | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2006-10-06 |
| 1710948567 | Lois Ann Smith | Nurse Practitioner | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2006-03-31 |
| Street Address |
COYOTE RIDGE CORRECTION CENTER 1301 NORTH EPHRATA AVE. |
| City | CONNELL |
| State | WA |
| Zip Code | 99326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538589478 | George Francis Quiggle | Counselor | 1100 W. Grant St., Connell, WA 99326 | 2014-04-18 |
| 1528316379 | Columbia Basin Health Association | Clinic/Center | 1051 S. Columbia Avenue, Connell, WA 99326 | 2012-08-28 |
| 1295011617 | Gary Byron Fletcher | Physician Assistant | 111 N Columbia Avenue, Connell, WA 99326 | 2011-10-31 |
| 1871895987 | Jonathan Neau | Physician Assistant | 1301 N Ephrata Ave, Connell, WA 99326 | 2010-11-22 |
| 1417116385 | Columbia Basin Health Association | Clinic/Center | 1051 S Columbia Avenue, Connell, WA 99326 | 2008-06-05 |
| 1952355448 | Catherine Sue Bilyard | Nurse Practitioner | 650 S Columbia Ave, Connell, WA 99326 | 2006-05-20 |
| 1598749590 | Jaeniffer Ang Kaiser | Nurse Practitioner | 661 South Columbia Avenue, Connell, WA 99326 | 2005-12-02 |
| 1124025721 | Dale T Fetroe | Family Medicine | 1301 Ephrata, C/o Coyote Ridge Correction Center, Connell, WA 99326 | 2005-06-28 |
| 1912185588 | Jon Marcus Raymond Mundall | General Practice | 111 North Columbia Ave, Connell, WA 99326 | 2008-02-06 |
| 1538213616 | Our Lady of Lourdes Health Center | Clinic/Center | 650 S Columbia Ave, Connell, WA 99326 | 2007-01-23 |
| Find all providers in zip 99326 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530625 | Tony A Harrington | Counselor | 1301 N Ephrata Ave, Connell, WA 99326-9601 | 2020-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467564 | Summit Health Management Pllc | Counselor | 6625 Wagner Way Ste 320, Gig Harbor, WA 98335-8392 | 2020-11-05 |
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1457951311 | Jonathan B Hall | Counselor | 1107 Grant Ave, Port Angeles, WA 98362-2728 | 2020-10-29 |
| 1598365595 | Deepeka Taya | Counselor | 17123 120th Ln Se Apt S303, Renton, WA 98058-5992 | 2020-10-28 |
| 1447850904 | Bethany Baril | Counselor | 1800 112th Ave Ne Ste 150w, Bellevue, WA 98004-2993 | 2020-10-26 |
| 1588263032 | Mark Alan Jewett | Counselor | 528 208th Ave Ne, Sammamish, WA 98074-6936 | 2020-10-25 |
| 1184223869 | Season Silk | Counselor | 523 Rainier St, La Conner, WA 98257-4707 | 2020-10-22 |
| 1366041048 | Shawna Lynn Mokler | Counselor | 841 Central Ave N Ste 215, Kent, WA 98032-2014 | 2020-10-22 |
| 1548868276 | Mind Over Matters, Pllc | Counselor | 2525 55th Ave Ne, Tacoma, WA 98422-3404 | 2020-10-14 |
| 1770180200 | Arika Wydur | Counselor | 23912 27th Ave Ne, Arlington, WA 98223-7629 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
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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.