KARISSA MARLENE SMITH (NPI# 1316585045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316585045 |
| Entity Type | Individual |
| Full Name | KARISSA MARLENE SMITH |
| Credential | L.A.C. , RN |
| Practice Address |
4770 Pearl Street Suite A Boulder CO 80301 |
| Mailing Address |
457 Maxwell Ave Apt B Boulder CO 80304 |
| Practice Telephone | 3035061043 |
| Mailing Telephone | 3035061043 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN0193655 | CO | Nursing Service Providers |
| Y | 171100000X | Acupuncturist | ACU0002503 | CO | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487190260 | Karissa Smith | Registered Nurse | 11115 West Highway 24, Unit 2c, Divide, CO 80814-0928 | 2017-01-17 |
| 1770068819 | Karissa Amber Smith | Pharmacist | 150 Melton Rd, Creswell, OR 97426-9453 | 2018-09-25 |
| 1821502998 | Karissa Smith | Technician, Other | 3231 S Gulley Rd Ste E, Dearborn, MI 48124-4407 | 2017-11-27 |
| Street Address |
4770 PEARL STREET SUITE A |
| City | BOULDER |
| State | CO |
| Zip Code | 80301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| 1659726065 | Matthew Nasta | Contractor | 2883 28th St, Suite A, Boulder, CO 80301 | 2016-05-04 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929636 | Michele Kaitlin Rodriguez | Acupuncturist | 2690 Valmont Rd Apt 2, Boulder, CO 80304-2951 | 2020-10-15 |
| 1528677168 | Layne Bronson | Acupuncturist | 2500 30th St Ste 205, Boulder, CO 80301-1236 | 2020-07-29 |
| 1396354304 | Steven G Wong | Acupuncturist | 3985 Wonderland Hill Ave # 100, Boulder, CO 80304-1038 | 2020-07-26 |
| 1023643228 | Casey Calkins | Acupuncturist | 948 North St Ste 6, Boulder, CO 80304-3385 | 2020-03-08 |
| 1285268367 | Candace Nicole Canerdy | Acupuncturist | 1170 Poplar Ave, Boulder, CO 80304-0767 | 2020-02-27 |
| 1407495914 | Rachel Mallie Nussbaum | Acupuncturist | 3405 Penrose Pl Ste 206, Boulder, CO 80301-1820 | 2019-12-31 |
| 1841847696 | Rachael Elrod-martinez | Acupuncturist | 2769 Iris Ave Ste 105, Boulder, CO 80304-4405 | 2019-08-26 |
| 1013579374 | Anum Sani Panhwar | Acupuncturist | 1650 38th St # E, Boulder, CO 80301-2623 | 2019-07-07 |
| 1841851128 | John Winternitz | Acupuncturist | 1800 30th St Ste 307, Boulder, CO 80301-1026 | 2019-06-26 |
| 1144794660 | Tara Faith Brockman | Acupuncturist | 1290 Yellow Pine Ave, Boulder, CO 80304-2264 | 2019-01-17 |
| Find all providers in BOULDER | ||||
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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.