ALYSSA JOY SMITH (NPI# 1366040149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366040149 |
| Entity Type | Individual |
| Full Name | ALYSSA JOY SMITH |
| Practice Address |
6612 Nw 42nd St Bethany OK 73008-2764 |
| Mailing Address |
4211 N Redmond Ave Apt 1 Bethany OK 73008-2809 |
| Practice Telephone | 4057176200 |
| Mailing Telephone | 9182602024 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111498 | Alyssa Marie Smith | Audiologist | 100 Pier 4 Blvd Unit 1703, Boston, MA 02210-1966 | 2020-10-16 |
| 1043856404 | Alyssa Smith | Registered Nurse | 1420 Centre Ave Apt 1713, Pittsburgh, PA 15219-3527 | 2019-11-20 |
| 1538623921 | Alyssa Marie Smith | Specialist/Technologist | 30 Cobblestone Dr, Willow Street, PA 17584-9013 | 2019-01-30 |
| 1992256853 | Alyssa Smith | Physician Assistant | 4840 New Broad St, Orlando, FL 32814-6628 | 2016-10-17 |
| 1518384049 | Alyssa Smith | Behavioral Analyst | 51 Sprucewood Rd, Watertown, CT 06795-3316 | 2014-03-21 |
| 1063786846 | Alyssa Nicole Smith | Case Manager/Care Coordinator | 149 Park St, Beverly, MA 01915-3257 | 2012-02-27 |
| 1881855799 | Alyssa Kristine Smith | Chiropractor | 1425 Light St, Baltimore, MD 21230-4514 | 2008-06-23 |
| 1235737289 | Alyssa Smith | Behavior Technician | 451 S Park Ridge Rd Ste 102, Bloomington, IN 47401-8589 | 2020-10-13 |
| 1811512346 | Alyssa Smith | Licensed Practical Nurse | 423 N 21st St, Camp Hill, PA 17011-2207 | 2020-06-10 |
| 1598394736 | Alyssa Ciera Smith | Student in an Organized Health Care Education/Training Program | 355 W 16th St Ste 2364, Indianapolis, IN 46202-2279 | 2020-04-08 |
| Street Address |
6612 NW 42ND ST |
| City | BETHANY |
| State | OK |
| Zip Code | 73008-2764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396985545 | Bethany A Dech | Counselor | 6612 Nw 42nd St, Bethany, OK 73008-2764 | 2009-03-01 |
| 1124640560 | Stacie Veitch | Counselor | 6612 Nw 42nd St, Bethany, OK 73008-2764 | 2020-05-07 |
| 1841838364 | Tricia Myers, M.s., Lpc, Ladc, Pllc | Counselor | 6612 Nw 42nd St, Bethany, OK 73008-2764 | 2019-12-16 |
| 1609331230 | Scott Paul Secor | Counselor | 6612 Nw 42nd St, Bethany, OK 73008-2764 | 2019-02-07 |
| 1871069245 | Southern Nazarene University | Counselor | 6612 Nw 42nd St, Bethany, OK 73008-2764 | 2018-10-23 |
| 1720433584 | Rachel Blevins | Specialist/Technologist | 6612 Nw 42nd St, Snu Box 2584, Bethany, OK 73008 | 2016-04-29 |
| 1316301575 | Kennady Reuland | Specialist/Technologist | 6612 Nw 42nd St, Box # 2166, Bethany, OK 73008-2764 | 2016-04-13 |
| 1891089512 | Tricia Myers | Counselor | 6612 Nw 42nd St, Bethany, OK 73008-2764 | 2011-05-31 |
| 1861625030 | Scott Drabenstot | Counselor | 6612 Nw 42nd St, Bethany, OK 73008-2764 | 2009-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150151 | Kimberly Campbell | Counselor | 6612 Nw 42nd Street, Bethany, OK 73008 | 2018-10-23 |
| 1366943151 | Arkansas Liver and Gastroenterology, Pa | Clinic/Center | 2347 North Thompkins Ave, Bethany, OK 73008 | 2018-02-27 |
| 1881106805 | Tiffany Harmon | Physical Therapy Assistant | 6729 Nw 39th Exp., Sawyer Center, Bethany, OK 73008 | 2017-10-31 |
| 1740660257 | Michael Brobston | Specialist | 6729 Nw 39th Expressway, Bethany, OK 73008 | 2015-06-01 |
| 1043626120 | Danielle Manning | Case Manager/Care Coordinator | 6729 Nw Expressway, Bethany, OK 73008 | 2014-07-09 |
| 1487065157 | Carolyn Mgcdf Jones | Behavioral Analyst | 2209 Nth. Beaver Ave., Bethany, OK 73008 | 2014-05-15 |
| 1013327022 | Ephraim Kelley | Counselor | 2800 N. Rockwell Ave., Bethany, OK 73008 | 2014-04-29 |
| 1356600407 | Mallory Crosier | Occupational Therapist | 6800 Nw 39th Expresswaay, Bethany, OK 73008 | 2012-05-10 |
| 1326310897 | Isaac I Juarez | Psychologist | 2020 N Briarcliff Ave., Bethany, OK 73008 | 2012-01-31 |
| 1295015295 | Lauren Vanderloo | Counselor | 7908 Northwest 23rd St, Bethany, OK 73008 | 2011-08-22 |
| Find all providers in zip 73008 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629577093 | Mindful Warrior Institute, LLC | Counselor | 7916 Nw 23rd St # 199, Bethany, OK 73008-4950 | 2018-02-12 |
| 1497142111 | Cathy Wahkinney | Counselor | 7300 Nw 23rd St Ste 301, Bethany, OK 73008-5128 | 2015-04-21 |
| 1508281049 | Keneise Johnson | Counselor | 1725 N Gleason Ave, Bethany, OK 73008-6149 | 2014-02-20 |
| 1386944056 | Lynda Luann Hills | Counselor | 8129 Nw 44th Cir, Bethany, OK 73008-2205 | 2010-10-28 |
| 1588971402 | Charlotte Iaquinta | Counselor | 4000 Spyglass Ln, Bethany, OK 73008-3060 | 2010-09-13 |
| 1295042596 | Diane Elaine Glass-burks | Counselor | 7908 N.w. 23rd St, Bethany, OK 73008 | 2010-09-08 |
| 1558678854 | Jack Dean Lapsley | Counselor | 7908 N.w. 23rd St., Bethany, OK 73008 | 2010-09-08 |
| 1669798013 | Cindy Ruth Cunningham | Counselor | 2328 N Donald Ave, Bethany, OK 73008-5942 | 2010-04-09 |
| 1982920583 | Charles Corbin Humble | Counselor | 3908 N Peniel Ave Ste 500, Bethany, OK 73008-3402 | 2010-04-08 |
| 1679771968 | Stacey Nicole Dean | Counselor | 4200 N Peniel Ave, Bethany, OK 73008-2742 | 2007-07-06 |
| Find all providers in BETHANY | ||||
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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.