COLLEEN E SMITH (NPI# 1245535632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245535632 |
| Entity Type | Individual |
| Full Name | COLLEEN E SMITH |
| Credential | PA-C |
| Practice Address |
551 E Hawthorne Rd Spokane WA 99218-1417 |
| Mailing Address |
Po Box 421 Liberty Lake WA 99019-0421 |
| Practice Telephone | 5099448910 |
| Mailing Telephone | 5099448910 |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2014-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60197705 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PA CERTIFICATE | 1095451 | 01 |
| WA | STATE LICENSE | PA60197705 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336700202 | Colleen Copeland Smith | Counselor | 40935 Grenata Preserve Pl, Leesburg, VA 20175-8720 | 2019-06-21 |
| 1073052767 | Colleen Smith | Registered Nurse | 1047 State Route 49, Cleveland, NY 13042-3220 | 2017-02-15 |
| 1043651219 | Colleen Elizabeth Smith | Social Worker | 1010 E Rose St, Attn Colleen Smith, Lakeland, FL 33801-2016 | 2013-07-16 |
| 1952653008 | Colleen A Smith | Physical Therapist | 4110 N Scottsdale Rd, Ste 155, Scottsdale, AZ 85251-3919 | 2012-10-12 |
| 1861769424 | Colleen Mary Smith | Counselor | 3580 Marshall Ave, Eugene, OR 97402-1998 | 2011-11-28 |
| 1578861175 | Colleen Alicia Smith | Massage Therapist | 430 Sw 13th Ave, Portland, OR 97205-2361 | 2011-03-05 |
| 1275763930 | Colleen Marie Smith | Massage Therapist | 19213 103rd Avenue Ct E, Graham, WA 98338-6444 | 2009-07-16 |
| 1114148749 | Colleen Marie Smith | Physical Therapy Assistant | 4227 Manor Drive, Pleasant Valley Manor, Stroudsburg, PA 18360 | 2007-05-01 |
| 1720633936 | Colleen Smith | Physical Therapist | 542 Boulevard Ave, Scranton, PA 18519-1750 | 2019-08-05 |
| 1306248448 | Colleen A Smith | Counselor | 446 Morgan St, Cincinnati, OH 45206-2348 | 2014-09-19 |
| Street Address |
551 E HAWTHORNE RD |
| City | SPOKANE |
| State | WA |
| Zip Code | 99218-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477545192 | Andrea K Johnson | Family Medicine | 551 E Hawthorne Rd, Spokane, WA 99218-1417 | 2005-08-18 |
| 1750802393 | Christopher Paul Swanson | Physician Assistant | 551 E Hawthorne Rd, Spokane, WA 99218-1417 | 2017-07-05 |
| 1144753088 | Lisa Tisch | Nurse Practitioner | 551 E Hawthorne Rd, Spokane, WA 99218-1417 | 2017-04-07 |
| 1720430796 | Nathan Le | Physician Assistant | 551 E Hawthorne Rd, Spokane, WA 99218-1417 | 2016-07-01 |
| 1578946513 | Matthew M Yamamoto | Physician Assistant | 551 E Hawthorne Rd, Spokane, WA 99218-1417 | 2015-07-08 |
| 1649605361 | Cindi Marie Warburton | Nurse Practitioner | 551 E Hawthorne Rd, Spokane, WA 99218-1417 | 2013-09-12 |
| 1942644414 | David Andrew Hoschek | Family Medicine | 551 E Hawthorne Rd, Spokane, WA 99218 | 2013-04-26 |
| 1023394210 | Providence Physician Service | Family Medicine | 551 E Hawthorne Rd, Spokane, WA 99218-1417 | 2011-11-01 |
| 1497066211 | Brett Eckenrod | Emergency Medicine | 551 E Hawthorne Rd, Spokane, WA 99218-1417 | 2010-06-25 |
| 1588893093 | Scott Ray Pleines | Orthopaedic Surgery | 551 E Hawthorne Rd, Spokane, WA 99218-1417 | 2009-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282455 | Timary Mathena | Specialist/Technologist | 11107 North Astor Road, Spokane, WA 99218 | 2018-04-19 |
| 1619423316 | Hi5 Orthodontics | Clinic/Center | 9425 N Nevaa, Suite 100, Spokane, WA 99218 | 2016-09-01 |
| 1245689389 | Heather Beats | Massage Therapist | 101 E. Hastings Rd. Ste G, Spokane, WA 99218 | 2016-06-09 |
| 1770979411 | Sparks Massage LLC-dba Elements Masssage | Massage Therapist | 101 E. Hastings Rd., Spokane, WA 99218 | 2015-04-09 |
| 1902295363 | Annabelle Morgan | Midwife | 11725 N Lincoln Ct, Spokane, WA 99218 | 2015-01-22 |
| 1578967543 | Deana Marie Ray | Massage Therapist | 1231 N Division, Ste 105, Spokane, WA 99218 | 2014-10-20 |
| 1770909889 | Krista Dye | Occupational Therapist | 9827 N Nevada, Spokane, WA 99218 | 2014-03-13 |
| 1265855845 | Breanna Zeis | Massage Therapist | 624 W. Hastings, Suite 16, Spokane, WA 99218 | 2014-02-02 |
| 1730516642 | Christie Nygaard | Massage Therapist | 101 E. Hastings Rd, Spokane, WA 99218 | 2013-10-09 |
| 1629312749 | Michelle Reid | Community Health Worker | 10709 N Madison, Spokane, WA 99218 | 2012-11-15 |
| Find all providers in zip 99218 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104273648 | Grant Bursell | Physician Assistant | 5316 E Sumac Ln, Spokane, WA 99223-5090 | 2016-05-14 |
| 1881093904 | Jacob Gott | Physician Assistant | 122 W 7th Ave Ste 420, Spokane, WA 99204-2330 | 2014-08-14 |
| 1235215856 | Kurt D Fullmer | Physician Assistant | 406 E Rowan Ave, Suite200, Spokane, WA 99207-1243 | 2006-10-27 |
| 1689782740 | Lori Tschetter | Physician Assistant | 42 E Rowan Ave Ste A, Spokane, WA 99207-1212 | 2006-08-29 |
| 1316973498 | Daniel Ray Keele | Physician Assistant | 4815nwassembly, Spokane, WA 99205 | 2006-06-23 |
| 1386606093 | Kathleen Elizabeth Moudy | Physician Assistant | 9911 N Nevada St, Spokane, WA 99218-1298 | 2006-04-06 |
| 1750359154 | Terri J Roark | Physician Assistant | 911 W 5th Avenue, Spokane, WA 99204 | 2006-03-10 |
| 1942289392 | Mara Lea Geffken | Physician Assistant | 605 E Holland, Suite 218, Spokane, WA 99218-1246 | 2006-01-13 |
| 1285611665 | Amy M Gregg | Physician Assistant | 105 W 8th, Spokane, WA 99204-2304 | 2005-12-28 |
| 1215913850 | Marc A. Hawkins | Physician Assistant | 310 N Riverpoint Blvd Health Science Bldg #280-j, University of Washington Medex Nw Pa Program, Spokane, WA 99202 | 2005-12-15 |
| Find all providers in SPOKANE | ||||
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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.