ANGELIQUE MICHEL SMITH (NPI# 1124578745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124578745 |
| Entity Type | Individual |
| Full Name | ANGELIQUE MICHEL SMITH |
| Other Name | ANGELIQUE MICHEL BENOIT |
| Credential | PA-C |
| Practice Address |
531 Faunce Corner Rd Dartmouth MA 02747-1242 |
| Practice Telephone | 5089963991 |
| Mailing Telephone | 5089963991 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA5801 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942566849 | Angelique Ja-nean Smith | Occupational Therapist | 1330 S Barrington Ave, 15, Los Angeles, CA 90025-1660 | 2012-04-04 |
| 1760012249 | Angelique Smith | Behavioral Analyst | 3121 N Oak Street Ext, Valdosta, GA 31602-1099 | 2020-01-23 |
| Street Address |
531 FAUNCE CORNER RD |
| City | DARTMOUTH |
| State | MA |
| Zip Code | 02747-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619928 | Jeffrey J Michaud | Obstetrics & Gynecology | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2005-06-16 |
| 1811505399 | Melinda Jeanette-may Pigeon | Physician Assistant | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2020-07-21 |
| 1043866999 | Stephanie Grace Souza | Nurse Practitioner | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2019-08-16 |
| 1114572153 | Jaimie Cordeiro | Nurse Practitioner | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2019-08-06 |
| 1194385658 | Jennifer Lee Jackman | Nurse Practitioner | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2019-06-17 |
| 1033614524 | Molly O'brien | Physician Assistant | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2018-03-27 |
| 1770081333 | Rebecca A Moreira | Nurse Practitioner | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2018-01-30 |
| 1265944227 | Courtney R Neves | Physician Assistant | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2017-10-31 |
| 1649780909 | Kelsey L. Ceven | Nurse Practitioner | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2017-10-01 |
| 1093240350 | Tracy Feitor | Nurse Practitioner | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2017-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432531 | Michelle Mulvey-sylvia | Nurse Practitioner | 237 State Road, Dartmouth, MA 02747 | 2019-02-05 |
| 1679078232 | Andrew Paul Macedo | Emergency Medical Technician, Basic | 80 Alpha Street, Dartmouth, MA 02747 | 2018-03-27 |
| 1255712378 | Courtney Mota Trevino | Optometrist | 83b Faunce Corner Rd, North Dartmouth, MA 02747 | 2015-06-15 |
| 1215323852 | Kara J. Kopaczewski | Family Medicine | 49 State Rd Pequot Bldg, Ste 204, North Dartmouth, MA 02747 | 2015-04-10 |
| 1427465368 | Glicksman-gomes, LLC | Dentist | 49 State Road Nauset Bldg., Dartmouth, MA 02747 | 2014-07-11 |
| 1033544846 | Blackstone Behavioral Health Services | Psychologist | 145k Faunce Corner Rd., North Dartmouth, MA 02747 | 2013-09-11 |
| 1477999894 | Christina Nicolau | Counselor | 145k Faunce Corner Road, North Dartmouth, MA 02747 | 2013-05-13 |
| 1770823882 | Wendy Stacy | Behavioral Analyst | 145 Fauce Corner Rd., N. Dartmouth, MA 02747 | 2013-02-26 |
| 1952653131 | Eye Health Associates Inc | Optometrist | 51 State Road, Dartmouth, MA 02747 | 2012-10-11 |
| 1265782866 | Helpful Hands, Inc | Home Health | 106a State Rd, N Dartmouth, MA 02747 | 2012-09-12 |
| Find all providers in zip 02747 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083021000 | Gurleen Mankoo | Physician Assistant | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2014-07-22 |
| 1215249248 | Amanda L Orszulak | Physician Assistant | 370 Faunce Corner Rd, Dartmouth, MA 02747-1271 | 2010-07-07 |
| 1598911422 | Anna Katherine Pepler | Physician Assistant | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2008-08-12 |
| 1659358380 | Robert S. Marcolini | Physician Assistant | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
| 1942812334 | Manacey Clermont | Physician Assistant | 21 Robinson Rd, Woburn, MA 01801-6136 | 2020-08-18 |
| 1801411756 | Kimberly Marques | Physician Assistant | 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 | 2020-06-16 |
| 1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
| 1275155590 | Makenna Camara | Physician Assistant | 249 Hixville Rd, North Dartmouth, MA 02747-1937 | 2020-05-08 |
| 1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
| 1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
| 1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
| 1639712011 | Joseph John Milos | Physician Assistant | 201 Carlson Ln, West Barnstable, MA 02668-1224 | 2019-10-18 |
| 1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
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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.