LURETHA SMITH (NPI# 1275708737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275708737 |
| Entity Type | Individual |
| Full Name | LURETHA SMITH |
| Credential | NNP |
| Practice Address |
5 River Bend Place Suite C Flowood MS 39232 |
| Mailing Address |
Po Box 320039 Flowood MS 39232 |
| Practice Telephone | 6019577345 |
| Practice Fax Number | 7692515429 |
| Mailing Telephone | 6019577345 |
| Mailing Fax Number | 7692515924 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2015-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
R748241 | MS | Nursing Service Providers |
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
R748241 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00125052 | 05 | |
| MS | 0125052 | 05 |
| Street Address |
5 RIVER BEND PLACE SUITE C |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538196936 | Marcy S Clarke | Nurse Practitioner | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2006-06-28 |
| 1922431048 | Lee Carol Jamison | Nurse Practitioner | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2013-08-12 |
| 1184960437 | Melissa Easley Flanagin | Nurse Practitioner | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2012-12-13 |
| 1154684363 | Kelli S Fewell | Nurse Practitioner | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2012-06-21 |
| 1740455138 | Jenni Brown | Registered Nurse | 5 River Bend Place, Flowood, MS 39232 | 2008-04-25 |
| 1972778421 | Cheryl Murray | Registered Nurse | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2008-04-25 |
| 1396910865 | Stacey Stanford | Registered Nurse | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2008-04-25 |
| 1558536037 | Kimberly Sheffield | Registered Nurse | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2008-04-25 |
| 1700051281 | Dawn Dearmond | Registered Nurse | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2008-04-25 |
| 1730236605 | Danny Boyd Mccaughan | Pediatrics | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538196936 | Marcy S Clarke | Nurse Practitioner | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2006-06-28 |
| 1811435175 | Kelly L Waldrop | Nurse Practitioner | 5 River Bend Pl, Suite C, Flowood, MS 39232-7618 | 2017-02-07 |
| 1568862019 | Kimberly Pinkerton Bartholomew | Nurse Practitioner | 5 River Bend Pl, Suite C, Flowood, MS 39232-7618 | 2014-09-02 |
| 1720411762 | Katherine Allgood Fulton | Nurse Practitioner | 5 River Bend Pl, Suite C, Flowood, MS 39232-7618 | 2013-08-13 |
| 1184960437 | Melissa Easley Flanagin | Nurse Practitioner | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2012-12-13 |
| 1154684363 | Kelli S Fewell | Nurse Practitioner | 5 River Bend Place, Suite C, Flowood, MS 39232 | 2012-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023432549 | Carolyn Wong | Nurse Practitioner | 4064 Sidlehill Dr, Olive Branch, MS 38654-6146 | 2014-02-05 |
| 1689846644 | Sheila Louise Morgan | Nurse Practitioner | 1730c 14th St, Meridian, MS 39301-4140 | 2008-03-31 |
| 1508069535 | Dancy A. Watson | Nurse Practitioner | 1730 14th St Ste C, Meridian, MS 39301-4140 | 2007-06-07 |
| 1073533782 | Tiffany Allison Bowen | Nurse Practitioner | 321 E Fifteenth St, Yazoo City, MS 39194-2631 | 2006-07-19 |
| 1679109458 | Kari Anna Adams | Nurse Practitioner | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2020-03-12 |
| 1053950733 | Elizabeth Wright Harvey | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2019-12-30 |
| 1720598899 | Lisa M. Smith | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2017-10-03 |
| 1770093841 | Emily Ann Jones | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2017-10-03 |
| 1972013159 | Victoria Mitchell | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2017-10-02 |
| 1104217017 | Alisia Chevese Hankins | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2015-02-13 |
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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.