ELISA M SMITH (NPI# 1164419644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164419644 |
| Entity Type | Individual |
| Full Name | ELISA M SMITH |
| Credential | APRN, CNS |
| Practice Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 6122625000 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2015-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | CNS 0275 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BCBS | 55721 | 01 |
| IA | 0423194 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066381 | Elisa Jeanne Smith | Social Worker | 1505 St. Marks Ave, Clinical Office, Brooklyn, NY 11233 | 2020-09-08 |
| 1679086565 | Elisa A Smith | Dietitian, Registered | 229 N Greene St, Greensboro, NC 27401-2410 | 2017-11-14 |
| 1821475955 | Elisa Smith | Occupational Therapist | 14510 Santa Rosa Dr, Brookfield, WI 53005-4121 | 2015-04-27 |
| 1235233263 | Elisa C. Smith | Physical Therapist | 1301 N 184th Ct, Shoreline, WA 98133-4538 | 2006-09-11 |
| 1992242150 | Elisa Smith | Physician Assistant | 550 1st Ave, New York, NY 10016-6402 | 2017-01-26 |
| 1750798872 | Elisa Smith | Emergency Medicine | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2014-07-21 |
| Street Address |
2925 CHICAGO AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736836 | Allina Health System | Clinic/Center | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-10-06 |
| 1477166742 | Erin Eileen Moody | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-08-26 |
| 1619587029 | Katie Lynn Erickson | Registered Nurse | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-08-01 |
| 1285264713 | Ryann A Adkins | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-01-23 |
| 1457981037 | Nicole Elaine Kurtzbein | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-01-22 |
| 1225698087 | Morgan Hanley | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2019-06-14 |
| 1336706290 | Seinah D Isaacs | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2019-05-24 |
| 1245798842 | Megan Pudlik | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2019-03-04 |
| 1689143414 | Eric Glen Trembath | Nurse Practitioner | 2925 Chicago Ave, Minneapolis, MN 55407 | 2018-11-22 |
| 1912481607 | Emily Jean Campbell | Nurse Practitioner | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2018-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255761821 | Karen Mary Gmitro Prieto | Clinical Nurse Specialist | 913 E 26th St # 401, Minneapolis, MN 55404-4515 | 2013-11-19 |
| 1417901109 | Jodie Duntley | Clinical Nurse Specialist | 701 Park Ave # S1, Minneapolis, MN 55415-1623 | 2006-05-19 |
| 1235743584 | Nicole Ji-hae Johnson | Clinical Nurse Specialist | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2020-09-03 |
| 1013178490 | Janet Mae Swanson | Clinical Nurse Specialist | 701 Park Ave South, Hennepin County Medical Center/revenue Management, Minneapolis, MN 55415 | 2008-06-19 |
| 1528258795 | Karen M Leaman | Clinical Nurse Specialist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2007-07-25 |
| 1659469948 | Nancy Gayle Gauthier | Clinical Nurse Specialist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-10-11 |
| 1558455097 | Mildred L Caspersen | Clinical Nurse Specialist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2006-10-02 |
| 1942392014 | Debra Ann Herbaugh | Clinical Nurse Specialist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-09-28 |
| 1376643734 | Maureen Anne Malloy | Clinical Nurse Specialist | 2001 Bloomington Ave, Minneapolis, MN 55404-3074 | 2006-09-25 |
| 1538269568 | Sharon Lucille Lehmann | Clinical Nurse Specialist | 500 Harvard Street Se, University of Minnesota Medical Center, Fairview, Minneapolis, MN 55455-0363 | 2006-09-22 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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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.