CARRIE RENEE SMITH (NPI# 1336343698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336343698 |
| Entity Type | Individual |
| Full Name | CARRIE RENEE SMITH |
| Credential | ATC, PA-C |
| Practice Address |
650 Joel Dr Rm 1be01 Fort Campbell KY 42223-5318 |
| Practice Telephone | 2707988727 |
| Practice Fax Number | 6156951483 |
| Mailing Telephone | 2707988727 |
| Mailing Fax Number | 6156951483 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2019-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3622 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 085003827 | 05 | |
| TN | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4115 Fairview Ave, Downers Grove, IL 605152268 | 6309681881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1467860718 | Carrie Smith | Specialist/Technologist | 11550 Scaggsville Rd, Fulton, MD 20759-2206 | 2014-07-31 |
| 1194040238 | Carrie Ann Smith | Physical Therapist | 5725 N County Road 775 W, West Baden Springs, IN 47469-9308 | 2010-04-01 |
| 1285799064 | Carrie Michelle Smith | Speech-Language Pathologist | 9649 W 55th Street, Countryside, IL 60525 | 2006-12-22 |
| 1205497591 | Carrie Lenore Smith | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2019-06-26 |
| 1538648118 | Carrie Marie Smith | Physical Therapy Assistant | 1310 E Broadway St, Cuero, TX 77954-2133 | 2018-08-14 |
| 1649765371 | Carrie Smith | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2018-06-25 |
| 1811412323 | Carrie Smith | Community Health Worker | 934 S Main St, Layton, UT 84041-7135 | 2017-08-04 |
| 1003344482 | Carrie Smith | Counselor | 204 Meadows Dr, Grayling, MI 49738-2013 | 2017-05-30 |
| 1447619341 | Carrie Smith | Community Health Worker | 450 Lancaster Ave, Haverford, PA 19041-1337 | 2016-02-19 |
| Street Address |
650 JOEL DR RM 1BE01 |
| City | FORT CAMPBELL |
| State | KY |
| Zip Code | 42223-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1962794172 | Brian M Wills | Physician Assistant | 650 Joel Drvie, Fort Campbell, KY 42223 | 2011-05-05 |
| 1861716524 | Lucas Benjamin Barker | Physician Assistant | Building 7149 Blacksheep Run Rd, Fort Campbell, KY 42223-5318 | 2010-03-23 |
| 1386879005 | David Lee Driskell | Physician Assistant | 6768 Desert Storm Ave, Hhc 3-187th In Regt, Fort Campbell, KY 42223 | 2009-05-26 |
| 1821101460 | Michael Joe Burns Jr. | Physician Assistant | Building 5979 Deset Storm Avenue, Ashau Valley Clinic, Fort Campbell, KY 42223 | 2006-08-17 |
| 1568063519 | Jeremy Schadewald | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-11-05 |
| 1487262408 | John William Zamora | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-15 |
| 1295343218 | Joshua Ryan Agard | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-15 |
| 1477181428 | Aaron Alan Hardy | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-03-27 |
| 1598390452 | Raymond L. Hernandez | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223-5349 | 2020-03-11 |
| Find all providers in FORT CAMPBELL | ||||
| City | FORT CAMPBELL |
| Zip Code | 42223 |
Please comment or provide details below to improve the information on CARRIE RENEE SMITH.
| 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.