CHANTELL SMITH (NPI# 1235630344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235630344 |
| Entity Type | Individual |
| Full Name | CHANTELL SMITH |
| Credential | NP-C |
| Practice Address |
839 Farmington Ave Bristol CT 06010-3922 |
| Practice Telephone | 8663892727 |
| Mailing Telephone | 8663892727 |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2020-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7484 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 31 Woodland St, Hartford, CT 061054335 | 8609228782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790829851 | Chantell Smith | Licensed Practical Nurse | 1756 Union St, Schenectady, NY 12309-6314 | 2007-02-20 |
| Street Address |
839 FARMINGTON AVE |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114021011 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 839 Farmington Ave, Bristol, CT 06010-3922 | 2006-09-12 |
| 1649892274 | Katherine Miciak | Nurse Practitioner | 839 Farmington Ave, Bristol, CT 06010-3922 | 2020-05-18 |
| 1386272045 | Josephine Nguyen | Nurse Practitioner | 839 Farmington Ave, Bristol, CT 06010-3922 | 2020-03-30 |
| 1497315956 | Jena Mitchell | Nurse Practitioner | 839 Farmington Ave, Bristol, CT 06010-3922 | 2019-06-17 |
| 1932621463 | Annas Al-kalak | Pharmacist | 839 Farmington Ave, Bristol, CT 06010-3922 | 2017-07-17 |
| 1427599349 | April Bontempo | Nurse Practitioner | 839 Farmington Ave, Bristol, CT 06010 | 2017-03-10 |
| 1346695152 | Shane Patrick Kelly | Pharmacist | 839 Farmington Ave, Bristol, CT 06010-3922 | 2016-04-29 |
| 1386063840 | Siama M Ramlogan | Nurse Practitioner | 839 Farmington Ave, Bristol, CT 06010 | 2014-04-14 |
| 1881944924 | Elena Valentinovna Zhakov | Nurse Practitioner | 839 Farmington Ave, Bristol, CT 06010-3922 | 2012-09-17 |
| 1295965481 | Manhouly Phouthachack | Nurse Practitioner | 839 Farmington Ave, Bristol, CT 06010-3922 | 2009-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| Find all providers in zip 06010 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1124633581 | Kristen L Viars | Nurse Practitioner | 501 Garden Ln, Bristol, VA 24201-1512 | 2020-09-12 |
| 1780295071 | Leslie Berryman | Nurse Practitioner | 901 Hill St, Bristol, TN 37620-2141 | 2020-08-11 |
| 1972134021 | Shonna Morenings | Nurse Practitioner | 200 Richmond Heights Rd, Bristol, TN 37620-6612 | 2020-01-28 |
| 1891347936 | Brittney O'hara | Nurse Practitioner | 350 Steeles Rd Ste 2, Bristol, TN 37620-9532 | 2019-07-09 |
| 1518524628 | Constance K Siekierski | Nurse Practitioner | 17 Platt St, Bristol, RI 02809-4317 | 2019-05-23 |
| 1477014827 | Mary Beth Foran | Nurse Practitioner | 1135 Columbia Rd, Bristol, TN 37620-4421 | 2019-03-28 |
| 1932663580 | Dana Lynn Mcdonnell | Nurse Practitioner | 415 Hart St, Bristol, CT 06010-2393 | 2019-01-29 |
| 1215405352 | Linda Carol Holmes | Nurse Practitioner | 1 Monarch Dr, Bristol, VA 24201-3138 | 2018-11-07 |
| 1922521608 | Connie A Bronson | Nurse Practitioner | 55020 Colonial Ridge Dr, Bristol, IN 46507-8901 | 2017-07-25 |
| Find all providers in BRISTOL | ||||
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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.