DR. REBECCA L SMITH (NPI# 1154361491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154361491 |
| Entity Type | Individual |
| Full Name | DR. REBECCA L SMITH |
| Credential | MD |
| Practice Address |
2100 Erwin Rd Durham NC 27705-3941 |
| Mailing Address |
5213 S Alston Ave Durham NC 27713-4430 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196204700 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2013-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
2006-00509 | NC | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
MD431657 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578106738 | Rebecca E Smith | Nurse Practitioner | 8900 30 Mile Rd, Washington, MI 48095-1911 | 2019-10-21 |
| 1528600681 | Rebecca Smith | Nurse Practitioner | 1668 W Liberty Rd, Atoka, OK 74525-1703 | 2019-10-10 |
| 1942855762 | Rebecca Smith | Occupational Therapist | 7103 Terry Dr, Knoxville, TN 37924-2359 | 2019-08-08 |
| 1780157503 | Rebecca Smith | Counselor | 3415 Saint Paul Ave, Minneapolis, MN 55416-4342 | 2019-01-03 |
| 1578042370 | Rebecca Smith | Occupational Therapist | 7621 Espina Dr, Austin, TX 78739-1938 | 2018-08-13 |
| 1053815647 | Rebecca Smith | Licensed Vocational Nurse | 658 County Road 319, Abilene, TX 79606-4726 | 2018-03-20 |
| 1740708643 | Rebecca L Smith | Acupuncturist | 750 Md Rt 3 S Ste 8, Gambrills, MD 21054-1306 | 2017-08-31 |
| 1992256200 | Rebecca Anne Elliott Smith | Psychologist | 2738 General Pershing Street, New Orleans, LA 70115 | 2016-10-21 |
| 1295139392 | Rebecca Smith | Massage Therapist | 123 Fenimore St, Brooklyn, NY 11225-5368 | 2014-10-17 |
| 1083027171 | Rebecca Smith | Technician, Other | 505 E Edgewood Blvd Apt 314, Lansing, MI 48911-5988 | 2014-06-05 |
| Street Address |
2100 ERWIN RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-3941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930417 | Raymond C Barfield | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2005-05-23 |
| 1477058584 | Natalie Louise Tammen | Physician Assistant | 2100 Erwin Rd, Durham, NC 27705-3941 | 2018-03-29 |
| 1205350691 | Deema Elchoufi | Student in an Organized Health Care Education/Training Program | 2100 Erwin Rd, Durham, NC 27705-3941 | 2017-07-28 |
| 1164965372 | Duke Family Medicine | Preferred Provider Organization | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-11-21 |
| 1306391560 | Jesslyn Patrice Doody | Physician Assistant | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-08-17 |
| 1134579147 | Tyler Henderson Knowles | Nurse Anesthetist, Certified Registered | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-06-21 |
| 1962852665 | David Tallon | Nurse Practitioner | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-06-14 |
| 1780079608 | Jeanna J Bateson | Physician Assistant | 2100 Erwin Rd, Durham, NC 27705 | 2015-03-30 |
| 1184034431 | Walter F Wiggins | Radiology | 2100 Erwin Rd, Durham, NC 27705-3941 | 2014-05-07 |
| 1629499108 | Joshua Harris | Social Worker | 2100 Erwin Rd, Durham, NC 27705-3941 | 2013-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770663726 | Stephen Leinenweber | Pediatrics | Duke Hospital South Trent Dr, Durham, NC 27710-0001 | 2006-10-16 |
| 1417904889 | David A Turner | Pediatrics | 2300 Erwin Road, Durham, NC 27710 | 2006-05-30 |
| 1003159179 | Candice Marlow Ray | Pediatrics | 2301 Erwin Rd, Durham, NC 27710 | 2013-03-27 |
| 1215277876 | Rachael E Bushman | Pediatrics | 2100 Erwin Rd, Durham, NC 27705-3941 | 2013-02-19 |
| 1053602805 | Jennifer Irene Sherwin | Pediatrics | 2301 Erwin Rd, Durham, NC 27705 | 2011-04-27 |
| 1184882078 | Caroline Ozment | Pediatrics | 2100 Erwin Rd, Durham, NC 27705-3941 | 2008-05-28 |
| 1033272802 | Ira Cheifetz | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
| 1013070895 | Vinod Prasad | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
| 1710067715 | Jon Meliones | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538691514 | Christen Nicole Seaman | Pediatrics | 333 South Columbia Street, 230 Macnider Hall Cb #7593, Chapel Hill, NC 27599-0001 | 2017-03-30 |
| 1780021451 | Mousumee Shah | Pediatrics | Pediactric Education Ofc, 101 Manning Drive, Cb# 7593, Chapel Hill, NC 27599-0001 | 2013-06-04 |
| 1598010217 | Alan Kent Lassiter | Pediatrics | 10106 Raven Tree Dr, Raleigh, NC 27617-8206 | 2012-07-18 |
| 1891057915 | Melissa Smith | Pediatrics | 417 Macnider, Chapel Hill, NC 27599 | 2012-06-14 |
| 1114110392 | Afsaneh Pirzadeh | Pediatrics | 214 Macnider Building, Cb # 7221, Chapel Hill, NC 27599-0001 | 2007-08-22 |
| 1477600286 | Jenny M Boyd | Pediatrics | 214 Macnider, Cb #7221, Chapel Hill, NC 27599-7221 | 2007-01-04 |
| 1124086814 | Childrens Acute Care of Fayetteville, P.a. | Pediatrics | 1638 Owen Dr - Picu, Fayetteville, NC 28304-3424 | 2006-05-02 |
| 1174187637 | Wakemed Specialists Group, LLC | Pediatrics | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-04-30 |
| 1982092219 | Coastal Childrens Services Pllc | Pediatrics | 2131 S 17th St, Wilmington, NC 28401-7407 | 2015-01-09 |
| 1093157828 | Kathryn Anne Best | Pediatrics | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2013-07-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. REBECCA L 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.