ALEXIS DANIELLE SMITH (NPI# 1225677271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225677271 |
| Entity Type | Individual |
| Full Name | ALEXIS DANIELLE SMITH |
| Practice Address |
4526 Federal Ave # Ms 11 Everett WA 98203-2132 |
| Practice Telephone | 4253496200 |
| Mailing Telephone | 4253496200 |
| Enumeration Date | 2019-12-21 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8815 S Tacoma Way Ste 122, Lakewood, WA 984997011 | 2063880544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333530 | Alexis Marie Smith | Counselor | 405 S Ruess Rd Apt C, Owosso, MI 48867-9397 | 2019-12-12 |
| 1740770627 | Alexis Leaann Smith | Behavior Technician | 1100 Nw Arlington Pl Apt 8, Blue Springs, MO 64015-2689 | 2018-05-16 |
| 1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
| 1922470350 | Alexis Smith | Chiropractor | 1927 Highway 138 Ne Ste 500, Conyers, GA 30013-1254 | 2015-10-26 |
| 1922356278 | Alexis Smith | Naturopath | 3278 Folsom St, Boulder, CO 80304-2411 | 2012-08-16 |
| 1235428103 | Alexis Christine Smith | Internal Medicine | 10030 Gilead Rd Ste 300, Huntersville, NC 28078-7545 | 2011-03-31 |
| 1417128380 | Alexis Marie Smith | Radiology | 7177 Struthers Rd, Youngstown, OH 44514-2270 | 2008-03-18 |
| 1063693109 | Alexis Laverne Smith | Nurse Practitioner | 11840 Southmore Drive, Charlotte, NC 28277-4821 | 2007-11-16 |
| 1316545205 | Alexis Smith | Physical Therapy Assistant | 31 Park Ave, Meadville, PA 16335-9435 | 2020-10-13 |
| 1104437581 | Alexis Nicole Smith | Speech-Language Pathologist | 4055 Johns Creek Pkwy Ste A, Suwanee, GA 30024-1299 | 2020-08-11 |
| Street Address |
4526 FEDERAL AVE # MS 11 |
| City | EVERETT |
| State | WA |
| Zip Code | 98203-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629195524 | Catherine Marie Baum | Registered Nurse | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2007-03-23 |
| 1467050278 | Andrea Maldonado | Student in an Organized Health Care Education/Training Program | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2020-10-14 |
| 1033716162 | Roque Ramirez Jr. | Student in an Organized Health Care Education/Training Program | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2020-10-01 |
| 1538780671 | Miguel Angel Farias | Behavior Technician | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2020-04-29 |
| 1811518228 | Aleutia Marie Krikorian | Registered Nurse | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2020-04-27 |
| 1043849052 | Amie Kristine Rich | Registered Nurse | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2020-04-02 |
| 1811533565 | Steven Titus | Licensed Practical Nurse | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2019-11-18 |
| 1043855992 | John Allan Maurer | Counselor | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2019-11-14 |
| 1902450513 | Catherine Muthembwa Mutevu | Behavior Technician | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2019-07-31 |
| 1164982633 | Jason Fernandez | Family Medicine | 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 | 2019-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1417572009 | Megan Ostermick-durkee | Student in an Organized Health Care Education/Training Program | Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 | 2020-06-10 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1205313483 | Kristina Renee Bylenga | Counselor | Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 | 2018-07-20 |
| 1306384300 | Shantijoy Inc | Naturopath | 5208 S 2nd Ave, Everett, WA 98203 | 2017-02-09 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1326404104 | Job Oichoe | Counselor | 4625 Federal Ave, Everett, WA 98203 | 2016-01-08 |
| 1427423292 | Ross Lee Voorhees | Counselor | 4423 S 3rd Ave, Everett, WA 98203 | 2015-12-04 |
| 1447642376 | Adam Schneider | Counselor | 4526 Federal Ave # 40, Everett, WA 98203 | 2015-03-02 |
| Find all providers in zip 98203 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1992211536 | Edna Iris Cruz | Peer Specialist | 3322 Broadway # Ms 04, Everett, WA 98201-4425 | 2017-12-19 |
| 1912419995 | Stacey Lynn Mcvay | Peer Specialist | 3322 Broadway Fl 1, Everett, WA 98201-4425 | 2017-10-30 |
| 1023625886 | Judith Effenberger | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-09-25 |
| 1225640808 | Linda Schaefer | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-08-17 |
| 1487264271 | Joshua Lane Jacobs | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-08-05 |
| 1083224323 | Hannah Lee Gay | Peer Specialist | 4526 Federal Ave # 40, Everett, WA 98203-2132 | 2020-08-02 |
| 1497365738 | Alexandria D Carrigg | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-08-02 |
| 1629688031 | Emily Elizabeth Miller | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-07-31 |
| 1518583541 | Alexandria Noelle Bain | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-06-25 |
| Find all providers in EVERETT | ||||
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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.