KELLEY N SMITH (NPI# 1235477894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235477894 |
Entity Type | Individual |
Full Name | KELLEY N SMITH |
Other Name | KELLEY NEWTON |
Credential | CNP |
Practice Address |
200 N Highway 25 Travelers Rest SC 29690-2300 |
Practice Telephone | 8648347269 |
Practice Fax Number | 8648347961 |
Mailing Telephone | 8648347269 |
Mailing Fax Number | 8648347961 |
Enumeration Date | 2013-01-16 |
Last Update Date | 2016-05-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
19696 | SC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP-14146 | OH | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346756822 | Kelley Sue Smith | Occupational Therapy Assistant | 24 Highland Ave, Newport, ME 04953-3229 | 2017-12-20 |
1093023517 | Kelley Anne Smith | Social Worker | 290 Turnpike Rd Ste 5-138, Westborough, MA 01581-2843 | 2010-09-17 |
1508188442 | Kelley Louise Smith | Physical Therapist | 1046 Hummingbird Way, Apt 7, Bloomington, IL 61704-6628 | 2010-02-19 |
1962649772 | Kelley Smith | Rehabilitation Practitioner | 1385 N Hamilton Pkwy, Novato, CA 94949-8276 | 2009-01-15 |
1407470784 | Kelley Elizabeth Smith | Counselor | 1115 Bethel Rd, Columbus, OH 43220-2690 | 2020-06-03 |
1689165664 | Kelley Ann Smith | Counselor | 300 W Main St, Medford, OR 97501-2756 | 2018-05-24 |
1619472685 | Kelley Smith | Student in an Organized Health Care Education/Training Program | 800 Rose St Rm H110, Lexington, KY 40536-7001 | 2018-03-29 |
1366874471 | Kelley Elizabeth Smith | Emergency Medicine | 1735 27th St, Waller Bldg. Suite B 06, Portsmouth, OH 45662-2677 | 2013-07-31 |
1538417688 | Kelley Suzanne Smith | Nurse Practitioner | 520 Douglas Blvd, Tyler, TX 75702-8307 | 2012-08-21 |
1174893051 | Kelley Smith | Pharmacist | 4720 Nine Mile Rd, Richmond, VA 23223-4943 | 2012-01-09 |
Street Address |
200 N HIGHWAY 25 |
City | TRAVELERS REST |
State | SC |
Zip Code | 29690-2300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124011382 | Nghia Trong Nguyen | Pharmacist | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2005-08-23 |
1922617927 | Caitlin Dawn Styles | Pharmacist | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2020-07-24 |
1427619030 | Hannah Moore Blume | Pharmacist | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2019-06-25 |
1164874921 | Stacey Dilworth | Nurse Practitioner | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2016-07-05 |
1063897585 | Brandy Diane Macdonald | Nurse Practitioner | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2015-07-26 |
1689000440 | Shonna Lynn Meyer | Pharmacist | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2013-09-24 |
1609125723 | Hayley M Harris | Pharmacist | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2012-09-05 |
1093064305 | Joanne Schumacher | Pharmacist | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2012-08-31 |
1578666343 | South Carolina Cvs Pharmacy LLC | Pharmacy | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2006-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063709 | Act Medical Transport Services LLC | Private Vehicle | 316 Poplar St Ext, Travelers Rest, SC 29690 | 2020-11-04 |
1881180297 | Tonya Cheeks | Home Health Aide | 20 S Poinsett Hwy Ste C, Travelers Rest, SC 29690 | 2018-07-09 |
1811391683 | Dialysis Newco, Inc | Clinic/Center | 36 South Main Street, Travelers Rest, SC 29690 | 2014-10-22 |
1356762835 | Maura Smith | Pharmacist | 1500 Seer Highway Ingles Pharmacy, Travelers Rest, SC 29690 | 2013-12-30 |
1174873400 | Regena Leeann Morgan | Pharmacist | 200 Hwy 25 North, Travelers Rest, SC 29690 | 2012-09-13 |
1316187040 | William Matthew Fisher | Psychiatry & Neurology | One Havenwood Lane, Travelers Rest, SC 29690 | 2009-02-20 |
1437303625 | Deborah Ann Arnold | Speech-Language Pathologist | 130 Echo Lane, Travelers Rest, SC 29690 | 2008-11-14 |
1124299375 | Preserve Health, Pa | Family Medicine | 135 Botanical Circle, Travelers Rest, SC 29690 | 2008-03-17 |
1962627372 | Mcleskey Todd Pharmacy of Travelers Rest, Inc | Durable Medical Equipment & Medical Supplies | 32 South Main St, Travelers Rest, SC 29690 | 2007-04-13 |
1730231408 | Jon Michael Julian | Dentist | 125 Botanical Circle, Travelers Rest, SC 29690 | 2007-01-16 |
Find all providers in zip 29690 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730799800 | Lateasha Lakira Henderson | Nurse Practitioner | 848 Pine Log Ford Rd, Travelers Rest, SC 29690-8864 | 2020-08-04 |
1336767730 | Audrey Denise Goodjoin | Nurse Practitioner | 807 N Main St, Travelers Rest, SC 29690-1551 | 2020-07-12 |
1750801791 | Sybil Tezza | Nurse Practitioner | 1 Havenwood Ln, Travelers Rest, SC 29690-9447 | 2017-06-21 |
1164874921 | Stacey Dilworth | Nurse Practitioner | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2016-07-05 |
1063897585 | Brandy Diane Macdonald | Nurse Practitioner | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2015-07-26 |
1699105411 | Lili Chen | Nurse Practitioner | 1588 Geer Hwy, Travelers Rest, SC 29690-9204 | 2013-11-14 |
1093982555 | Kara Price | Nurse Practitioner | 135 Botanical Circle, Travelers Rest, SC 29690 | 2008-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
1740888262 | Gerri Kukucka | Nurse Practitioner | 18 Ash Ct, Irmo, SC 29063-9584 | 2020-10-16 |
1407454853 | William Andrew Haislip | Nurse Practitioner | 109 Anita St, Greer, SC 29651-3814 | 2020-10-16 |
1912505652 | Mattison Williams Craig | Nurse Practitioner | 108 Woodstock Ln, Greer, SC 29650-3918 | 2020-10-14 |
1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
1285231845 | Shannon Marie Dunlap | Nurse Practitioner | 3792 Home Branch Rd, Manning, SC 29102-4109 | 2020-10-07 |
1588261325 | Crystal Leopard | Nurse Practitioner | 328 Deer Creek Rd, Easley, SC 29640-7615 | 2020-10-05 |
1497352595 | Margaret Ann Regnery | Nurse Practitioner | 900 Island Park Dr Ste 104, Daniel Island, SC 29492-7560 | 2020-10-02 |
1417564709 | John P Rainchuso | Nurse Practitioner | 299 Three Runs Creek Way, Aiken, SC 29803-1680 | 2020-09-30 |
Find all providers with the same taxonomy |
City | TRAVELERS REST |
Zip Code | 29690 |
Please comment or provide details below to improve the information on KELLEY N 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.