AUDREY ANN SMITH (NPI# 1184615254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184615254 |
| Entity Type | Individual |
| Full Name | AUDREY ANN SMITH |
| Credential | CRNP |
| Practice Address |
1026 Boardman Canfield Rd Youngstown OH 44512-4224 |
| Practice Telephone | 3307588681 |
| Practice Fax Number | 3307269350 |
| Mailing Telephone | 3307588681 |
| Mailing Fax Number | 3307269350 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP06525 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2284960 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601436 | Audrey Renee Smith | Behavior Technician | 5870 El Camino Real Ste 101, Carlsbad, CA 92008-8816 | 2020-08-25 |
| 1477170082 | Audrey Caroline Smith | Physician Assistant | 1303 N 188th St, Elkhorn, NE 68022-4501 | 2020-06-30 |
| 1861676017 | Audrey Rowell Smith | Psychologist | 5326 Soldiers Home Msbg Rd, Miamisburg, OH 45342-1459 | 2007-12-24 |
| 1710194808 | Audrey Littrell Smith | Counselor | 324 West 3rd St, Cedar Falls Counseling Associates, Cedar Falls, IA 50613-2745 | 2007-05-17 |
| 1316981590 | Audrey Sue Smith | Psychologist | 402 Main Street, Saegertown, PA 16433 | 2006-06-16 |
| 1104803725 | Audrey Lyn Smith | Pharmacist | 6450 Sprint Pkwy, Overland Park, KS 66251-6105 | 2005-12-23 |
| 1073138723 | Audrey Smith | Counselor | 1449 Temple Rd, Bremen, GA 30110-2378 | 2020-06-09 |
| 1285277749 | Audrey Dominique Smith | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2019-10-28 |
| 1760034748 | Audrey Elaine Smith | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2019-07-10 |
| 1184288821 | Audrey Camille Smith | Counselor | 2324 Concord Lake Rd, Concord, NC 28025-2814 | 2019-04-29 |
| Street Address |
1026 BOARDMAN CANFIELD RD |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44512-4224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194716233 | Jyotindra Prataprai Shah | Internal Medicine | 1026 Boardman Canfield Rd, Youngstown, OH 44512-4224 | 2005-10-28 |
| 1437369063 | Jyotindra P. Shah, M.d., Inc. | Internal Medicine | 1026 Boardman Canfield Rd, Youngstown, OH 44512-4224 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203765 | Kenneth E Smith | Nurse Practitioner | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2005-05-24 |
| 1770033250 | Bethany Grace Tittle | Nurse Practitioner | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2016-10-10 |
| 1013464080 | Kristie Elizabeth Miller | Nurse Practitioner | 4694 Belmont Ave, Youngstown, OH 44505-1012 | 2016-09-07 |
| 1447705058 | Amber Walden | Nurse Practitioner | 726 Wick Ave, Youngstown, OH 44505-2827 | 2016-08-24 |
| 1275985442 | Brittany Mancini | Nurse Practitioner | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2016-07-12 |
| 1356711139 | Talishia Marie Jones | Nurse Practitioner | 1044 Belmont Ave, Youngstown, OH 44504 | 2015-10-06 |
| 1598135790 | Barbara A Walsh | Nurse Practitioner | 1011 Boardman Canfield Rd, Youngstown, OH 44512-4226 | 2015-09-30 |
| 1053789123 | Pamela Smith | Nurse Practitioner | 7630 Southern Blvd, Youngstown, OH 44512-5633 | 2015-09-08 |
| 1639547086 | Jennifer L. Barrett | Nurse Practitioner | 20 Ohltown Rd, Youngstown, OH 44515-2331 | 2015-09-02 |
| 1023406394 | Jason Sindledecker | Nurse Practitioner | 1011 Boardman Canfield Rd, Youngstown, OH 44512-4226 | 2015-01-08 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
Please comment or provide details below to improve the information on AUDREY ANN 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.