MS. PAMELA JEAN SMITH (NPI# 1265892749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265892749 |
| Entity Type | Individual |
| Full Name | MS. PAMELA JEAN SMITH |
| Credential | FNP |
| Practice Address |
9025 Highway 64 Lakeland TN 38002-8448 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 9013872998 |
| Practice Fax Number | 9013872999 |
| Mailing Telephone | 6154254200 |
| Mailing Fax Number | 6154254201 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000020782 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6150 Oak Tree Blvd, Suite 200, Independence, OH 441316917 | 8008979177 | 8004708713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841806551 | Pamela Louise Smith | Nurse Practitioner | 1605 E Broadway Ste 100, Columbia, MO 65201-8023 | 2020-09-17 |
| 1275144511 | Pamela Marie Smith | Technician | 111 Chase Dr, Kearneysville, WV 25430-2719 | 2020-08-11 |
| 1770147068 | Pamela Annette Smith | Licensed Vocational Nurse | 513 N 23rd St, Waco, TX 76707-3423 | 2019-04-23 |
| 1487123162 | Pamela R Smith | Non-emergency Medical Transport (VAN) | 6300 Daleshire Dr, North Chesterfield, VA 23234-5618 | 2018-11-25 |
| 1932686425 | Pamela C Smith | Registered Nurse | 502 N Elm St, Marshville, NC 28103-1029 | 2018-07-26 |
| 1497241905 | Pamela Sue Smith | Counselor | 2696 N University Ave Ste 238, Provo, UT 84604-3848 | 2018-07-09 |
| 1770018210 | Pamela Smith | Counselor | 230 Westview Dr, Crestview, FL 32536-9254 | 2017-04-21 |
| 1689112385 | Pamela Smith | Contractor | 2382 Mogadore Rd, Akron, OH 44312-1315 | 2017-02-02 |
| 1831648997 | Pamela Jean Smith | Behavioral Analyst | 3227 Quince St Se, Olympia, WA 98501-3545 | 2016-09-29 |
| 1578010401 | Pamela Smith | Counselor | 40700 California Oaks Rd. Suite 202, Murrieta, CA 92562 | 2016-09-08 |
| Street Address |
9025 HIGHWAY 64 |
| City | LAKELAND |
| State | TN |
| Zip Code | 38002-8448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619588043 | Rana Cooper | Nurse Practitioner | 9025 Highway 64, Lakeland, TN 38002-7981 | 2020-08-10 |
| 1275170268 | John Mills | Pharmacist | 9025 Highway 64, Lakeland, TN 38002-8448 | 2019-12-09 |
| 1417598905 | Jennifer Johnson Kitkowski | Nurse Practitioner | 9025 Highway 64, Lakeland, TN 38002-8448 | 2019-10-04 |
| 1588147078 | James Eli Mullins Iv | Nurse Practitioner | 9025 Highway 64, Lakeland, TN 38002-8448 | 2018-09-11 |
| 1265885446 | Rebecca Mcfarland | Pharmacist | 9025 Highway 64, Pharmacy, Lakeland, TN 38002-8448 | 2016-07-22 |
| 1740667484 | Brittni Patterson | Nurse Practitioner | 9025 Highway 64, Lakeland, TN 38002-8448 | 2015-05-01 |
| 1497148837 | Sandra Koh Miller | Nurse Practitioner | 9025 Highway 64, Lakeland, TN 38002-8448 | 2015-03-10 |
| 1285065656 | Patrick W Denning | Nurse Practitioner | 9025 Highway 64, Lakeland, TN 38002-8448 | 2013-12-10 |
| 1710228903 | Patricia Jue | Pharmacist | 9025 Highway 64, Lakeland, TN 38002-8448 | 2013-03-13 |
| 1386944668 | Mark Gordon Lingerfelt | Pharmacist | 9025 Highway 64, Lakeland, TN 38002-8448 | 2010-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649836636 | Sunshine and Smiles, LLC. | Home Health | 160 Hidden Lake Cove, Arlington, TN 38002 | 2019-05-15 |
| 1679050934 | Alisha James-scott | Nurse Practitioner | 9025 Us-64, Lakeland, TN 38002 | 2018-07-19 |
| 1720577513 | Heavenly Senior Transport Services LLC | Non-emergency Medical Transport (VAN) | 5995 Garret Valley Ln, Arlington, TN 38002 | 2018-05-07 |
| 1962915959 | Southern Dental of Brunswick Pllc | Dentist | 8755 Chaffee Road, Suite 103, Arlington, TN 38002 | 2017-11-13 |
| 1346750619 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 5226 Airline Rd, 121, Arlington, TN 38002 | 2017-10-02 |
| 1528577210 | Celia Mae Noble | Speech-Language Pathologist | 5940 Griffin Rd, Arlington, TN 38002 | 2017-09-25 |
| 1568996064 | Joshua Davis Bravo | Physical Therapist | 5226 Airline Rd Ste 131, Arlington, TN 38002 | 2017-04-12 |
| 1952773053 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11003 Highway 70, Arlington, TN 38002 | 2015-10-28 |
| 1124490222 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11443 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
| 1245602341 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11455 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
| Find all providers in zip 38002 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906994 | Janine Marie Divincenzo-smith | Nurse Practitioner | 2927 Northbrook Ln, Lakeland, FL 33811-1663 | 2020-09-15 |
| 1225643638 | Erin Garza | Nurse Practitioner | 1606 Lakewood Dr N, Lakeland, FL 33813-3241 | 2020-09-11 |
| 1184240228 | Alexis Michele Ramos | Nurse Practitioner | 858 Rockingham Rd, Lakeland, FL 33809-4044 | 2020-06-24 |
| 1326664632 | Lindsey R Cromer | Nurse Practitioner | 6945 Ashbury Dr, Lakeland, FL 33809-7804 | 2020-06-23 |
| 1043846611 | Amy Melissa Eaton | Nurse Practitioner | 1123 Walt Williams Rd Lot 192, Lakeland, FL 33809-2392 | 2020-03-16 |
| 1265066732 | Komal Meghat | Nurse Practitioner | 707 Arbor Glen Cir Apt 103, Lakeland, FL 33805-2376 | 2020-02-24 |
| 1629609391 | Brooke Nicole Brooks | Nurse Practitioner | 6883 Lake Eaglebrooke Dr, Lakeland, FL 33813-5667 | 2020-01-30 |
| 1568001774 | Theava Ismarella Preston | Nurse Practitioner | 1409 Alameda Dr S, Lakeland, FL 33805-2301 | 2020-01-06 |
| 1497394738 | Denise Thaxter | Nurse Practitioner | 3262 Pebblebrooke Blvd, Lakeland, FL 33810-1305 | 2020-01-03 |
| 1205478724 | Jisha Mathew | Nurse Practitioner | 2636 High Ridge Dr, Lakeland, FL 33812-5883 | 2019-10-16 |
| Find all providers in LAKELAND | ||||
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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.