KELLY RAE SMITH (NPI# 1114072972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114072972 |
| Entity Type | Individual |
| Full Name | KELLY RAE SMITH |
| Credential | RDCS, RVT |
| Practice Address |
800 S Washington Ave Ultrasound Dept Saginaw MI 48601-2551 |
| Practice Telephone | 9899078229 |
| Mailing Telephone | 9899078229 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
10278 | MI | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1447877899 | Kelly Smith | Dental Hygienist | 7700 Sw Garden Home Rd Apt 24, Portland, OR 97223-7496 | 2020-07-01 |
| 1346720893 | Kelly Smith | Licensed Vocational Nurse | 512 S Kearny, Clarendon, TX 79226 | 2018-08-15 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1013437870 | Kelly Dennis Smith | Public Health or Welfare | 211 Oakmont Dr, New Orleans, LA 70128-3624 | 2017-06-22 |
| 1164955498 | Kelly Ghislaine Smith | Student in an Organized Health Care Education/Training Program | 171 Old Chester Rd, Essex Fells, NJ 07021-1624 | 2017-04-04 |
| 1588026975 | Kelly Therese Smith | Specialist/Technologist | 344 S Maple Ave #2a, Oak Park, IL 60302 | 2016-03-24 |
| 1790168326 | Kelly Smith | Counselor | 545 Sw 26th St, Oklahoma City, OK 73109-6740 | 2015-07-01 |
| 1518353341 | Kelly Smith | Nurse Practitioner | 2232 Wilborn Ave Ste D, South Boston, VA 24592-1662 | 2015-04-08 |
| 1265830491 | Kelly Sue Smith | Speech-Language Pathologist | 210 Starpine Pl Unit A, Prescott, AZ 86303-7017 | 2014-12-22 |
| Street Address |
800 S WASHINGTON AVE ULTRASOUND DEPT |
| City | SAGINAW |
| State | MI |
| Zip Code | 48601-2551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477530202 | Young H Kim | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2005-12-22 |
| 1053938969 | Jeffry Lin | Student in an Organized Health Care Education/Training Program | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-06-26 |
| 1942826482 | Olivia Samoray | Student in an Organized Health Care Education/Training Program | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-06-21 |
| 1376169896 | Aarthi Arab | Student in an Organized Health Care Education/Training Program | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-06-20 |
| 1598388613 | Jacqueline White-neslund | Pharmacist | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-05-22 |
| 1366063729 | Ascension St. Mary's Hospital | Psychiatry & Neurology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-04-27 |
| 1205455300 | Matthew B Cabeliza | Nurse Practitioner | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-04-09 |
| 1558998989 | Precision Radiotherapy Pllc | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-03-25 |
| 1609412527 | Ascension St. Mary's Hospital | Internal Medicine | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2019-11-26 |
| 1225673940 | Hospitalist Medicine Physicians of Michigan - Grand Blanc, Pllc | Internal Medicine | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2019-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629570197 | Amanda Lynn Clothier | Occupational Therapist | 800 S Washington, Saginaw, MI 48601 | 2018-03-01 |
| 1891206959 | The Young Mens Christian Association of Saginaw | Health Educator | 1915 Fordney St., Saginaw, MI 48601 | 2017-10-17 |
| 1457860330 | Thassa Antwinette Ervin | Nurse's Aide | 2918 Arlington Dr, Saginaw, MI 48601 | 2017-09-23 |
| 1790200053 | Deana Marie Warner | Occupational Therapy Assistant | 2454 Madsen Rd., Saginaw, MI 48601 | 2017-08-08 |
| 1821522459 | Home Care Central Inc | Home Health | 4789 Janes Road, Saginaw, MI 48601 | 2017-04-20 |
| 1194199497 | Demartez Lamar Couch | Contractor | 1474 Chatham Dr., Saginaw, MI 48601 | 2015-11-24 |
| 1831568997 | First Choice Staffing Agency, LLC | Hospice Care, Community Based | 339 S. 25th St., Saginaw, MI 48601 | 2015-09-18 |
| 1801212204 | Marla Katherine Price | Dietitian, Registered | 800 S. Washington, St. Marys of Michigan, Saginaw, MI 48601 | 2014-03-10 |
| 1346591328 | Lance Louis-john Redwantz | Dietitian, Registered | 1522 Janes Street, Saginaw, MI 48601 | 2012-10-01 |
| 1386900785 | Mark Dennis Szczepanski | Social Worker | 1040 Towerline Rd, Saginaw, MI 48601 | 2012-04-10 |
| Find all providers in zip 48601 | ||||
| Taxonomy Code | 2471V0105X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Vascular Sonography |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861753915 | Aero On-site Imaging, Corp. | Radiologic Technologist | 7769 Woodland Rd, Lake Odessa, MI 48849-9323 | 2012-06-06 |
| 1871649236 | Farzana Butt | Radiologic Technologist | 2575 Spring Arbor Rd, Suite #500, Jackson, MI 49203-3652 | 2007-01-26 |
Please comment or provide details below to improve the information on KELLY RAE SMITH.
| 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.