SARAH ALICE SMITH (NPI# 1235625815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235625815 |
| Entity Type | Individual |
| Full Name | SARAH ALICE SMITH |
| Credential | CPSS |
| Practice Address |
24435 Plymouth Rd Redford MI 48239-1616 |
| Mailing Address |
9315 Telegraph Rd Redford MI 48239-1260 |
| Practice Telephone | 3134500400 |
| Practice Fax Number | 3134500404 |
| Mailing Telephone | 3134500400 |
| Mailing Fax Number | 3134500404 |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | MI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495130 | Sarah Corena Smith | Specialist/Technologist | 110 Bishop Manogue Dr, Reno, NV 89511-4809 | 2020-10-19 |
| 1861009334 | Sarah Elizabeth Smith | Physician Assistant | 10 Hampshire Hills Dr, Bow, NH 03304-4920 | 2020-09-28 |
| 1700404951 | Sarah Tucker Smith | Nurse Practitioner | 619 Blanning Dr, Dallas, TX 75218-1742 | 2020-07-13 |
| 1659996957 | Sarah Madeleine Smith | Student in an Organized Health Care Education/Training Program | 519 Heather Ln, Wales, WI 53183-9768 | 2020-06-11 |
| 1194364067 | Sarah Caitlin Smith | Occupational Therapist | 360 S 400 W Apt 434, Salt Lake City, UT 84101-1975 | 2019-12-24 |
| 1548810690 | Sarah Smith | Specialist/Technologist | 807 Navajo Trl, Mc Gregor, TX 76657-1070 | 2019-09-19 |
| 1992364400 | Sarah Katherine Smith | Physician Assistant | 708 Funderburk Ave, Houma, LA 70364-1825 | 2019-06-08 |
| 1558927731 | Sarah Joy Smith | Social Worker | 579 Dorothy Ave, Johnstown, PA 15906-1456 | 2019-05-14 |
| 1588126783 | Sarah Chere Smith | Licensed Practical Nurse | 137 Emerald Rd, Springfield, MA 01119-2813 | 2019-04-05 |
| 1700344793 | Sarah M Smith | Specialist/Technologist | 3330 Longshore Ave, Philadelphia, PA 19149-2030 | 2019-03-08 |
| Street Address |
24435 PLYMOUTH RD |
| City | REDFORD |
| State | MI |
| Zip Code | 48239-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497170179 | Courtney Ritchie | General Practice | 24435 Plymouth Rd, Redford, MI 48239 | 2014-03-04 |
| 1750911889 | Fatuma Bahalwan | Student in an Organized Health Care Education/Training Program | 24435 Plymouth Rd, Redford, MI 48239-1616 | 2020-01-16 |
| 1982092425 | Michael Barnes | Community/Behavioral Health | 24435 Plymouth Rd, Redford, MI 48239-1616 | 2015-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942849856 | Court'nee Ann Desmond | Nurse Practitioner | 14761 Telegraph Rd, Redford, MI 48239 | 2019-12-26 |
| 1891250239 | Sun Valley Pharmacy LLC | Pharmacy | 9291 Telegraph Rd, Redford, MI 48239 | 2019-02-08 |
| 1003343369 | Lucinda Pryor | Nurse Practitioner | 14210 Marion, Redford, MI 48239 | 2017-05-17 |
| 1740725274 | Georgetta W Bond | Technician, Other | 12770 Hemingway, Redford, MI 48239 | 2016-12-19 |
| 1508318015 | Doris Mckinney | Counselor | Lincoln Behavioral Services - 9315 Telegraph, Redford, MI 48239 | 2016-10-31 |
| 1609282110 | Rosaundra Tanika Pope | Home Health | 9989 Royal Grand, Redford, MI 48239 | 2014-07-03 |
| 1003168592 | Alicia Monique Lurry | Counselor | 8171 Parkland, Detroit, MI 48239 | 2012-10-08 |
| 1407116080 | Ariss Tiffani Pierce | Physical Therapist | 14615 Telegraph Rd Ste 1, Redford, MI 48239 | 2012-05-17 |
| 1205144409 | Steven Thomas Haynes | Counselor | 7411 Parkland, Redford, MI 48239 | 2010-09-22 |
| 1104069673 | Amen's Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9014 Rockland, Redford, MI 48239 | 2009-04-14 |
| Find all providers in zip 48239 | ||||
| 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 |
|---|---|---|---|---|
| 1831711613 | John Lee Williams Jr. | Peer Specialist | 24400 Schoolcraft, Redford, MI 48239-2633 | 2020-05-14 |
| 1124669775 | Sara Kifah Jayyousi | Peer Specialist | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-10-04 |
| 1457901142 | Gayland Adkins | Peer Specialist | 12285 Dixie Ste 100, Redford, MI 48239-2491 | 2019-09-16 |
| 1013562099 | Richard Allan Warner | Peer Specialist | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-08-06 |
| 1730649518 | Paul Donald Hatton | Peer Specialist | 12285 Dixie Ste 100, Redford, MI 48239-2491 | 2019-03-20 |
| 1154886968 | Felicia Cooper | Peer Specialist | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-02-06 |
| 1881158269 | Shirley Ann Cockrell | Peer Specialist | 12285 Dixie Ste 100, Redford, MI 48239-2491 | 2019-01-30 |
| 1881164549 | Wayne Allen Westerlund | Peer Specialist | 12285 Dixie Ste 100, Redford, MI 48239-2491 | 2018-11-26 |
| 1851886048 | April Moorer | Peer Specialist | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2018-06-29 |
| 1316430945 | Michael Brock | Peer Specialist | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2018-06-08 |
| Find all providers in REDFORD | ||||
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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.