MR. JUSTIN KEATON SMITH (NPI# 1275041642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275041642 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN KEATON SMITH |
| Credential | AGACNP-BC |
| Practice Address |
1 Parkland Dr Derry NH 03038-2746 |
| Practice Telephone | 6013372067 |
| Mailing Telephone | 6013372067 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2019-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
073522-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3111508 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578034237 | Justin Bengt Smith | Psychologist | 270 E Highway 246, Buellton, CA 93427-9669 | 2018-12-06 |
| 1851820773 | Justin Michael Smith | Registered Nurse | 333 Smith Ave N # Mr 60229, Saint Paul, MN 55102-2344 | 2017-06-05 |
| 1841678281 | Justin Smith | Specialist/Technologist | 1088 75th St, Amery, WI 54001-5220 | 2015-05-18 |
| 1225450984 | Justin L. Smith | Counselor | 100 E Somerset Church Rd, Somerset, KY 42503-4977 | 2014-01-15 |
| 1154671394 | Justin Smith | Contractor | 2104 Elizabeth Ave, Zion, IL 60099-2731 | 2012-09-14 |
| 1598015828 | Justin Smith | Nurse Practitioner | 1113 Church St, Conway, SC 29526-4128 | 2012-09-13 |
| 1144591306 | Justin Michael Smith | Technician, Other | 1436 S Irving St, Apartment A-321, Denver, CO 80219-3957 | 2012-01-19 |
| 1992005037 | Justin William Smith | Case Manager/Care Coordinator | 1355 E. Main, Batesville, AR 72501 | 2010-10-22 |
| 1497061634 | Justin R Smith | Dentist | 2407 Saint Andrews Blvd, Panama City, FL 32405-2170 | 2010-08-25 |
| 1245556307 | Justin William Smith | Internal Medicine | 273 Winton Blount Loop, Montgomery, AL 36117-3507 | 2010-04-14 |
| Street Address |
1 PARKLAND DR |
| City | DERRY |
| State | NH |
| Zip Code | 03038-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255319687 | Nicholas Tzavalas | Anesthesiology | 1 Parkland Dr, Derry, NH 03038-2746 | 2006-01-05 |
| 1730788373 | Michael Stafford | Specialist/Technologist, Other | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-10-24 |
| 1811500424 | Hca Health Services of New Hampshire, Inc. | Psychiatric Unit | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-08-25 |
| 1225648702 | Kendra Snyder Huckins | Nurse Practitioner | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-08-09 |
| 1720612054 | Kyle Cahill | Occupational Therapist | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-02-25 |
| 1336771880 | Kristen Poole Flagg | Dietitian, Registered | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-02-12 |
| 1861950651 | Anesthesia Associates of New England PC | Anesthesiology | 1 Parkland Dr, Derry, NH 03038-2746 | 2019-03-11 |
| 1508384645 | Ann Gitonga Kumbani | Nurse Anesthetist, Certified Registered | 1 Parkland Dr, Derry, NH 03038-2746 | 2017-09-08 |
| 1801319710 | Justin Herbert Soule | Physician Assistant | 1 Parkland Dr, Derry, NH 03038-2746 | 2017-07-23 |
| 1386195469 | Alaa Azzouqa | Hospitalist | 1 Parkland Dr, Derry, NH 03038-2746 | 2016-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750922142 | Derry Surgical Center, LLC | Clinic/Center | 15 Tsienneto Road, Derry, NH 03038 | 2019-10-07 |
| 1265941769 | Shireen Kirata | Physician Assistant | Lahey Institute of Urology, Derry, 44 Birch Street, Derry, NH 03038 | 2017-09-27 |
| 1538615133 | Louise Dinsmore | Pharmacist | 48 East Broadway, Derry, NH 03038 | 2016-09-01 |
| 1295188852 | Lauren Manney | Pharmacist | 48 E. Broadway, Derry, NH 03038 | 2016-07-19 |
| 1396104857 | Simply Orthodontics, Nh, PC | Dentist | 8 Crystal Ave, Derry, NH 03038 | 2016-02-12 |
| 1659766996 | Beverly Stasia Weston | Adult Companion | 60 Frost Rd, Derry, NH 03038 | 2015-04-03 |
| 1639580038 | Tricia Lane | Nurse Practitioner | 1 Parkland Drive, Derry, NH 03038 | 2014-05-20 |
| 1841620382 | Rothenwitz Dental Partnership | Dentist | 19d Manchester Rd, Suite 3, Derry, NH 03038 | 2013-11-20 |
| 1184934978 | Colleen Summers | Nurse Practitioner | 6 Tsiennto Road, Suite 101ll, Derry, NH 03038 | 2010-10-14 |
| 1609016922 | Bethany Lynne Layne | Physical Therapist | 8 White Oak Lane, Derry, NH 03038 | 2009-02-26 |
| Find all providers in zip 03038 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394620 | Amanda Currier | Nurse Practitioner | 8 Derry Way Apt 10, Derry, NH 03038-2163 | 2018-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316507395 | Kara J Beaulieu | Nurse Practitioner | 21 E Hollis St Fl 2, Nashua, NH 03060-2928 | 2019-06-20 |
| 1144524430 | Daniel Ryan Hebert | Nurse Practitioner | 333 Borthwick Ave Ste 402, Portsmouth, NH 03801-7128 | 2011-01-01 |
| 1891942447 | Johsie M. Bennett | Nurse Practitioner | 974 River Rd, Weare, NH 03281-5216 | 2008-08-26 |
| 1669567871 | Maureen Walden | Nurse Practitioner | 11 Whitehall Road, Rochester, NH 03867-3297 | 2006-10-04 |
| 1851992960 | Tina Mcguirk | Nurse Practitioner | 1 Highlander Way, Manchester, NH 03103-7403 | 2020-11-04 |
| 1063011294 | Nycol Clough | Nurse Practitioner | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-10-19 |
| 1164034088 | Kris Douglas Halliwell | Nurse Practitioner | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-08-21 |
| 1356966592 | Morgan Carpenter | Nurse Practitioner | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-06-13 |
| 1023647120 | Linda J Barton | Nurse Practitioner | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2020-04-02 |
| 1073141263 | Linda White | Nurse Practitioner | 600 Saint Johnsbury Rd, Littleton, NH 03561-3442 | 2020-04-01 |
| Find all providers with the same taxonomy | ||||
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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.