JUDY L SMITH (NPI# 1366555146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366555146 |
Entity Type | Individual |
Full Name | JUDY L SMITH |
Credential | PHD |
Practice Address |
641 Oakleaf Office Ln Suite 3 Memphis TN 38117-4819 |
Practice Telephone | 9016800080 |
Practice Fax Number | 9013831507 |
Mailing Telephone | 9016800080 |
Mailing Fax Number | 9013831507 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
P1046 | TN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BCBS ID NUMBER | 0127281 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194068908 | Judy Jolene Smith | Speech-Language Pathologist | 4508 Lochmoor Circle, Jonesboro, AR 72401 | 2013-03-29 |
1588959423 | Judy Ann Smith | Counselor | 133 Hilton Ave Nw, Palm Bay, FL 32907-6827 | 2011-06-17 |
1679896807 | Judy Ann Smith | Licensed Practical Nurse | 400 Lori Ln Apt 7, Rome, NY 13440-4586 | 2010-03-02 |
1992946388 | Judy C. Smith | Social Worker | Rr 5 Box 42, Nutmeg Place, Bluefield, WV 24701-9002 | 2009-03-13 |
1225114127 | Judy Anne Smith | Nurse Practitioner | 3450 E Fletcher Ave Ste 350, Tampa, FL 33613-4699 | 2006-10-31 |
1851394498 | Judy Noreen Smith | Nurse Practitioner | 2006 Holiday Ln, Suite 100, Fulton, KY 42041-8468 | 2005-05-27 |
1760020713 | Judy M Smith | Pharmacist | 2981 S Military Hwy, Chesapeake, VA 23323-5810 | 2019-12-19 |
1770017063 | Judy H Smith | Psychologist | 919 Fremont Ave, Suite 202, Los Altos, CA 94024-6024 | 2017-04-13 |
1750792438 | Judy Mary Smith | Counselor | 839 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2014-05-15 |
1437496304 | Judy Elan Smith | Nurse Practitioner | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2013-01-11 |
Street Address |
641 OAKLEAF OFFICE LN SUITE 3 |
City | MEMPHIS |
State | TN |
Zip Code | 38117-4819 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
Find all providers in zip 38117 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447805031 | Jasmine Jones | Psychologist | 516 Tennessee St Ste 225, Memphis, TN 38103-4717 | 2019-08-09 |
1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
1265950919 | Memphis Center for Mindful Living, LLC | Psychologist | 4646 Poplar Ave Ste 435, Memphis, TN 38117-4443 | 2017-09-01 |
1053869354 | Kimberly Noel Fleming | Psychologist | 512 Alexander St, Memphis, TN 38111-4310 | 2016-09-14 |
1003230350 | Kyong Han | Psychologist | 6401 Poplar Ave Ste 420, Memphis, TN 38119-4806 | 2014-02-06 |
1578997615 | William Leslie Fulliton | Psychologist | 1407 Union Ave Ste 1407, Memphis, TN 38104 | 2013-08-26 |
1073862827 | Joann Paula Raby | Psychologist | 5119 Summer Ave Ste 233, Memphis, TN 38122-4417 | 2012-09-06 |
1922236546 | Robert Allen Neimeyer | Psychologist | Department of Psychology 400 Innovation Dr, University of Memphis, Memphis, TN 38152-3230 | 2009-06-23 |
1477753564 | Meghan Eileen Mcdevitt-murphy | Psychologist | 202 Psychology Bldg, University of Memphis, Memphis, TN 38152-3230 | 2007-07-18 |
1508086976 | Charlotte L Kennedy | Psychologist | 4953 W Old Farm Rd, Memphis, TN 38125-3706 | 2007-04-26 |
Find all providers in MEMPHIS |
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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.