STEPHANIE SMITH (NPI# 1134559610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134559610 |
| Entity Type | Individual |
| Full Name | STEPHANIE SMITH |
| Credential | CNP |
| Practice Address |
7115 Forthun Road Suite 105 Baxter MN 56425 |
| Practice Telephone | 2184540090 |
| Practice Fax Number | 2184540091 |
| Mailing Telephone | 2184540090 |
| Mailing Fax Number | 2184540091 |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2014-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R1908376 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972118362 | Stephanie Malika Smith | Speech-Language Pathologist | 1041 Rabon Pond Dr, Columbia, SC 29223-5866 | 2020-09-11 |
| 1215577952 | Stephanie Joy Smith | Specialist/Technologist | 12775 Stockdale Highway, Bakersfield, CA 93314 | 2020-01-10 |
| 1578123238 | Stephanie Smith | Doula | 7504 Pinnacle Pl Se, Snoqualmie, WA 98065-8981 | 2019-06-15 |
| 1487114559 | Stephanie D Smith | Registered Nurse | 921 Gibson St, Titusville, FL 32780-7721 | 2019-03-23 |
| 1144786583 | Stephanie Lynn Smith | Dietitian, Registered | 4375 Fair Lakes Ct, Fairfax, VA 22033-4234 | 2019-02-11 |
| 1427521533 | Stephanie Michelle Smith | Physician Assistant | 2025 Williams Farm Rd, Virginia Beach, VA 23457-1390 | 2019-01-10 |
| 1275016958 | Stephanie Grace Smith | Occupational Therapist | 267 Timberpoint Rd, East Islip, NY 11730-3319 | 2018-09-10 |
| 1801381546 | Stephanie Smith | Specialist/Technologist | 155 Miami St, Tiffin, OH 44883-2161 | 2018-06-26 |
| 1013408079 | Stephanie M Smith | Massage Therapist | 3613 Williams Dr Ste 1003, Georgetown, TX 78628-1376 | 2018-05-25 |
| 1871092429 | Stephanie Jill Smith | Counselor | 4405 Padre Blvd, South Padre Island, TX 78597-7324 | 2018-02-09 |
| Street Address |
7115 FORTHUN ROAD SUITE 105 |
| City | BAXTER |
| State | MN |
| Zip Code | 56425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528039682 | David Christopher Anderholm | Psychiatry & Neurology | 7115 Forthun Road, Suite 105, Baxter, MN 56425 | 2006-01-27 |
| 1487956033 | Larry Howard Zarling | Psychologist | 7115 Forthun Road, Suite 105, Baxter, MN 56425 | 2010-12-01 |
| 1760544423 | Jeanne Marie Kurtz | Psychologist | 7115 Forthun Road, Suite 105, Baxter, MN 56425 | 2006-12-15 |
| 1558379974 | Melissa A Virnig | Psychiatry & Neurology | 7115 Forthun Road, Suite 105, Baxter, MN 56425 | 2006-08-03 |
| 1437120722 | Vicky Lynn Laplant | Psychiatry & Neurology | 7115 Forthun Road, Suite 105, Baxter, MN 56425 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364089 | Jennifer Ann Olson | Behavioral Analyst | Autism Matters 14387 Edgewood Drive, Baxter, MN 56425 | 2020-04-13 |
| 1801229000 | Longville Lakes Clinic, Inc. | Clinic/Center | 13205 Isle Drive, Baxter, MN 56425 | 2013-08-12 |
| 1033555867 | Shiela Klemmetsen | Family Medicine | Essentia Health St. Joseph's-baxter Clinic, 13060 Isle Drive, Baxter, MN 56425 | 2013-05-20 |
| 1053547299 | Linda Marie Bowman | Social Worker | 13397 Shadow Wood Drive, Baxter, MN 56425 | 2009-06-02 |
| 1215112792 | Brainerd Medical Center, Inc. | Nurse Practitioner | 14133 Edgewood Drive, Baxter, MN 56425 | 2008-01-03 |
| 1134313208 | Sleep Center of Central Minnesota LLC | Clinic/Center | 13495 Elder Drive, Suite 120, Baxter, MN 56425 | 2007-08-31 |
| 1750582482 | Jacqueline Elizabeth Oelfke | Nurse Practitioner | Cbhh-baxter, 14241 Grand Oaks Dr., Baxter, MN 56425 | 2007-05-30 |
| 1508080631 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14398 Grand Oaks Drive, Baxter, MN 56425 | 2007-04-12 |
| 1093842247 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14396 Grand Oaks Dr, Baxter, MN 56425 | 2007-02-27 |
| 1053458364 | Teri Kaminski Peterson | Speech-Language Pathologist | 15620 Edgewood Dr Ste 240, Baxter, MN 56425 | 2007-01-30 |
| Find all providers in zip 56425 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141956 | Heather Ann Arbaney | Nurse Practitioner | 7115 Forthun Rd, Baxter, MN 56425-8597 | 2020-07-08 |
| 1518518877 | Marei Arden Benton | Nurse Practitioner | 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 | 2019-09-26 |
| 1861045262 | Jacqueline Grinnell | Nurse Practitioner | 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 | 2019-07-24 |
| 1114570298 | Amanda June Inas Mikhaeil | Nurse Practitioner | 14241 Grand Oaks Dr, Baxter, MN 56425-8749 | 2019-07-18 |
| 1083171920 | Elizabeth Dawn Winkler-rogers | Nurse Practitioner | 13045 Falcon Dr Ste 100, Baxter, MN 56425 | 2019-02-27 |
| 1467611657 | Latricia Ann Alt-peters | Nurse Practitioner | 13045 Falcon Dr, Suite 100, Baxter, MN 56425-4201 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
| 1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
| 1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
| 1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
| 1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
| 1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
| 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.