MELISSA SMITH (NPI# 1366077687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366077687 |
| Entity Type | Individual |
| Full Name | MELISSA SMITH |
| Practice Address |
105 Medical Dr Elizabeth City NC 27909-3361 |
| Mailing Address |
421 Fleming Cir Chesapeake VA 23323-3810 |
| Practice Telephone | 2523331540 |
| Mailing Telephone | 7573227037 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS23754 | NC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
0704006752 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801416409 | Melissa Suzanne Smith | Psychologist | 1000 Low Gap Rd, Ukiah, CA 95482-3737 | 2020-04-23 |
| 1003442047 | Melissa Smith | Speech-Language Pathologist | 1451 Rosewood Ave, Lakewood, OH 44107-3733 | 2020-03-22 |
| 1609417971 | Melissa Smith | Registered Nurse | 8601 Arbor St, Omaha, NE 68124-2149 | 2019-10-08 |
| 1568016798 | Melissa Dean Smith | Marriage & Family Therapist | 8106 Red Stone Hill Rd, Louisville, KY 40214-4614 | 2019-07-25 |
| 1710445150 | Melissa Hatton Smith | Dietitian, Registered | 3226 Greenwich Village Blvd Apt 102, Orlando, FL 32835-7575 | 2019-03-05 |
| 1134600869 | Melissa Maria Smith | Occupational Therapist | 1361 Shallowbend Dr, Midlothian, TX 76065-6972 | 2018-08-21 |
| 1851870604 | Melissa Smith | Registered Nurse | 212 Fernwood St, Bridge City, TX 77611-2328 | 2018-08-13 |
| 1699265017 | Melissa Ann Smith | Specialist/Technologist | 16620 S 48th St Unit 46, Phoenix, AZ 85048-1205 | 2018-05-10 |
| 1124559364 | Melissa Smith | Behavior Technician | 34119 Alameda Dr, Sorrento, FL 32776-6955 | 2017-03-21 |
| 1588019434 | Melissa Sue Smith | Optometrist | 1880 Kenneth Rd Ste 1, York, PA 17408-6344 | 2016-04-28 |
| Street Address |
105 MEDICAL DR |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-3361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104825694 | Carolina Surgical Care Associates, P. A. | Specialist | 105 Medical Dr, Elizabeth City, NC 27909-3361 | 2005-07-18 |
| 1396280350 | Jk2c, LLC | Health Maintenance Organization | 105 Medical Dr, Elizabeth City, NC 27909-3361 | 2016-12-30 |
| 1124214036 | Ear,nose&throat Head,neck&sinus Surgery,pc | Clinic/Center | 105 Medical Dr, Elizabeth City, NC 27909-3361 | 2007-09-25 |
| 1700987062 | Anthony W Jackson Sr. | Otolaryngology | 105 Medical Dr, Elizabeth City, NC 27909-3361 | 2006-09-26 |
| 1942254677 | Madonna Nicole Morgan | Audiologist | 105 Medical Dr, Elizabeth City, NC 27909-3361 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891297230 | Cpl Counseling & Consulting Services | Counselor | 1016 W Ehringhaus St, Elizabeth City, NC 27909-4959 | 2018-03-01 |
| 1205340734 | Charlene Lavone Powell | Counselor | 1016 W Ehringhaus St Ste B-6, Elizabeth City, NC 27909-4959 | 2017-11-20 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1750653945 | Laverne Bruce | Counselor | 504 E Elizabeth St Ste 1, Elizabeth City, NC 27909-4472 | 2012-02-02 |
| 1982923058 | Anna Coker | Counselor | 891 Berea Church Rd, Elizabeth City, NC 27909-7303 | 2010-05-27 |
| 1467789586 | Pathways Counseling Center | Counselor | 508 E Main St Ste 201, Elizabeth City, NC 27909-4458 | 2009-11-10 |
| 1285721878 | Angela Starr Osmon | Counselor | 1806 Edgewood Dr, Elizabeth City, NC 27909-6618 | 2006-10-06 |
| 1396214193 | Eunoia Behavior Health Services | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909-5840 | 2018-11-21 |
| 1629438783 | Valerie Boyce | Counselor | 208 Hastings Ln, Elizabeth City, NC 27909-3324 | 2016-03-02 |
| 1851712962 | Gary Prirchard Stanley | Counselor | 1141 N Road St, Elizabeth City, NC 27909-3354 | 2013-12-17 |
| Find all providers in ELIZABETH CITY | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
Please comment or provide details below to improve the information on MELISSA 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.