PHYLLIS MARIE SMITH (NPI# 1194225052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194225052 |
| Entity Type | Individual |
| Full Name | PHYLLIS MARIE SMITH |
| Practice Address |
1907 18th St Se Apt 201 Washington DC 20020-4653 |
| Mailing Address |
2401 Southern Ave Apt 204 Temple Hills MD 20748-4253 |
| Practice Telephone | 2024864627 |
| Mailing Telephone | 2024864627 |
| Enumeration Date | 2018-02-17 |
| Last Update Date | 2018-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316417082 | Phyllis A Smith | Clinical Nurse Specialist | 972 Kahn Ave, Hamilton, OH 45011-4458 | 2018-11-26 |
| 1083112650 | Phyllis Marie Smith | Social Worker | 1395 Airport Rd, Magee, MS 39111-5367 | 2018-01-29 |
| 1386177608 | Phyllis Smith | Technician, Pathology | 10231 36th Ave Sw, Seattle, WA 98146-1111 | 2017-04-04 |
| 1932562139 | Phyllis Smith | Registered Nurse | 1316 E Valley Rd, Adrian, MI 49221-9501 | 2016-04-04 |
| 1710138326 | Phyllis J. Smith | Licensed Practical Nurse | 8245 Township Road 56, Lexington, OH 44904-8703 | 2008-10-02 |
| 1992868343 | Phyllis C Smith | Nurse Practitioner | 10626 Chapman Hwy, Seymour, TN 37865-4703 | 2006-12-18 |
| 1811343080 | Phyllis Malewich Smith | Pharmacist | 120 Weston Oaks Ct, Cary, NC 27513-2256 | 2016-05-06 |
| 1598111866 | Phyllis Christine Smith | Marriage & Family Therapist | 3332 Bridges St, Suite 3a, Morehead City, NC 28557-3280 | 2016-05-05 |
| 1952666463 | Phyllis Marie Smith | Pharmacist | 1504 2nd St Ne, Hickory, NC 28601-2551 | 2012-07-10 |
| 1336435452 | Phyllis Biergie Smith | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2011-06-27 |
| Street Address |
1907 18TH ST SE APT 201 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20020-4653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
| 1215566708 | Ryan Wright | Counselor | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
| 1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
| 1639720394 | Denise Anderson | Technician | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
| 1629628664 | Rayniece Ann Johnson | Technician | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
| 1780245787 | Connie Kitchings | Technician | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
| 1922560366 | Neka Ramsey-lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
| 1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
| 1356814974 | Ferris Antwan Alston | Technician | 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 | 2019-01-07 |
| 1083182471 | Aaron Joshua Jones | Technician | 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 | 2018-11-05 |
| Find all providers in zip 20020 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1033710793 | Mykeena Naylor | Technician | 7 U St Nw, Washington, DC 20001-1010 | 2020-11-07 |
| 1942801683 | Jacquise C Martin | Technician | 2801 14th St Nw Apt 303, Washington, DC 20009-4946 | 2020-11-07 |
| 1497356133 | Deonta Marcell Saleem | Technician | 2400 Hartford St Se Apt 104, Washington, DC 20020-7967 | 2020-11-07 |
| 1447851548 | Caroline Nadine Hudgens | Technician | 2412 Wagner St Se, Washington, DC 20020-3416 | 2020-11-04 |
| 1255932380 | Donald Anthony Harris | Technician | 1924 Savannah St Se, Washington, DC 20020-7535 | 2020-11-04 |
| 1528669819 | Lyndell Neal Simms | Technician | 7053 Spring Pl Nw Apt 313, Washington, DC 20012-2193 | 2020-11-04 |
| 1912508136 | Gary Gathers | Technician | 1720 Savannah St Se Apt 102, Washington, DC 20020-7585 | 2020-11-04 |
| 1629679162 | Andrew Holt Jr. | Technician | 1317 5th St Nw Apt 302, Washington, DC 20001-4871 | 2020-11-02 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20020 |
Please comment or provide details below to improve the information on PHYLLIS MARIE 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.