KELLY A SMITH (NPI# 1356636054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356636054 |
| Entity Type | Individual |
| Full Name | KELLY A SMITH |
| Practice Address |
1001 Military St Port Huron MI 48060-5416 |
| Mailing Address |
9543 Anchor Dr Clay MI 48001-4301 |
| Practice Telephone | 8109855437 |
| Practice Fax Number | 8002481568 |
| Mailing Telephone | 8107942327 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | MI | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | ADULT COMPANION | 372600000X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1447877899 | Kelly Smith | Dental Hygienist | 7700 Sw Garden Home Rd Apt 24, Portland, OR 97223-7496 | 2020-07-01 |
| 1346720893 | Kelly Smith | Licensed Vocational Nurse | 512 S Kearny, Clarendon, TX 79226 | 2018-08-15 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1013437870 | Kelly Dennis Smith | Public Health or Welfare | 211 Oakmont Dr, New Orleans, LA 70128-3624 | 2017-06-22 |
| 1164955498 | Kelly Ghislaine Smith | Student in an Organized Health Care Education/Training Program | 171 Old Chester Rd, Essex Fells, NJ 07021-1624 | 2017-04-04 |
| 1588026975 | Kelly Therese Smith | Specialist/Technologist | 344 S Maple Ave #2a, Oak Park, IL 60302 | 2016-03-24 |
| 1790168326 | Kelly Smith | Counselor | 545 Sw 26th St, Oklahoma City, OK 73109-6740 | 2015-07-01 |
| 1518353341 | Kelly Smith | Nurse Practitioner | 2232 Wilborn Ave Ste D, South Boston, VA 24592-1662 | 2015-04-08 |
| 1265830491 | Kelly Sue Smith | Speech-Language Pathologist | 210 Starpine Pl Unit A, Prescott, AZ 86303-7017 | 2014-12-22 |
| Street Address |
1001 MILITARY ST |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-5416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952413312 | Kari Ann Kreger | Counselor | 1001 Military St, Port Huron, MI 48060-5416 | 2006-08-31 |
| 1326576620 | Kaitlin Marie Christman | Social Worker | 1001 Military St, Port Huron, MI 48060-5416 | 2017-05-31 |
| 1811399728 | Kurtis Kirkpatrick | Counselor | 1001 Military St, Port Huron, MI 48060-5416 | 2014-09-23 |
| 1053738724 | Stacey Vatter | Counselor | 1001 Military St, Port Huron, MI 48060-5416 | 2014-03-19 |
| 1164762142 | Melissa Hrbcek | Adult Companion | 1001 Military St, Port Huron, MI 48060 | 2013-02-27 |
| 1548500630 | Donna Wilcox | Adult Companion | 1001 Military St, Port Huron, MI 48060-5416 | 2013-02-26 |
| 1760722599 | Amanda Rae Axon | Adult Companion | 1001 Military St, Port Huron, MI 48060-5416 | 2013-02-14 |
| 1346504909 | Jennifer Mary Watkins | Adult Companion | 1001 Military St, Port Huron, MI 48060-5416 | 2012-06-28 |
| 1255694493 | Nicholas Cortis | Adult Companion | 1001 Military St, Port Huron, MI 48060-5416 | 2012-06-22 |
| 1265795413 | Michael Dean Bailey | Adult Companion | 1001 Military St, Port Huron, MI 48060-5416 | 2012-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245566702 | David Burnham I | Adult Companion | 3111 Electric Ave., Port Huron, MI 48060 | 2009-10-19 |
| 1942861786 | James Michael Talbot | Adult Companion | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2019-06-24 |
| 1679068571 | Jason Sparks | Adult Companion | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2018-06-25 |
| 1801387857 | Gina Renee Bass-maddox | Adult Companion | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2018-05-25 |
| 1366961187 | Natalie Richard | Adult Companion | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2017-09-13 |
| 1669856944 | Patricia Blume | Adult Companion | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2015-07-16 |
| 1164762142 | Melissa Hrbcek | Adult Companion | 1001 Military St, Port Huron, MI 48060 | 2013-02-27 |
| 1548500630 | Donna Wilcox | Adult Companion | 1001 Military St, Port Huron, MI 48060-5416 | 2013-02-26 |
| 1760722599 | Amanda Rae Axon | Adult Companion | 1001 Military St, Port Huron, MI 48060-5416 | 2013-02-14 |
| 1346504909 | Jennifer Mary Watkins | Adult Companion | 1001 Military St, Port Huron, MI 48060-5416 | 2012-06-28 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on KELLY A 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.