MARYL SMITH (NPI# 1366826455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366826455 |
| Entity Type | Individual |
| Full Name | MARYL SMITH |
| Credential | APRN |
| Practice Address |
8521 La Grange Rd Louisville KY 40242-3800 |
| Mailing Address |
101 W Muhammad Ali Blvd Louisville KY 40202-1423 |
| Practice Telephone | 5028143624 |
| Mailing Telephone | 5025898600 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2020-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G149034 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3009559 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8521 LA GRANGE RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40242-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841280575 | John Stocking | Specialist | 8521 La Grange Rd, Louisville, KY 40242-3800 | 2005-10-25 |
| 1609411347 | Debra Tinsley Schmid | Registered Nurse | 8521 La Grange Rd, Louisville, KY 40242-3800 | 2019-11-15 |
| 1033635214 | Noplis Psychiatry LLC | Psychiatry & Neurology | 8521 La Grange Rd, Louisville, KY 40242-3800 | 2017-08-18 |
| 1760913404 | Stanley Bryant | Counselor | 8521 La Grange Rd, Louisville, KY 40242-3800 | 2017-03-24 |
| 1831473859 | Anitha Mandadapu, Md, Pllc | Specialist | 8521 La Grange Rd, Louisville, KY 40242-3800 | 2011-10-10 |
| 1851578579 | Arun Nagender Reddy Kaithi | Psychiatry & Neurology | 8521 La Grange Rd, Louisville, KY 40242-3800 | 2008-01-24 |
| 1881796183 | Mohammad Afzal Mian | Specialist | 8521 La Grange Rd, Louisville, KY 40242-3800 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689729121 | Robert E Bohn | Dentist | 9325 New Lagrange Road, Louisville, KY 40242 | 2007-01-24 |
| 1447303714 | Margaret C Campisano | Dentist | 9325 New Lagrange Rd, Louisville, KY 40242 | 2007-01-19 |
| 1386743037 | Kentuckiana Psychotherapy Associates | Social Worker | 9017 Taylorsville Rd, Louisville, KY 40242 | 2006-09-21 |
| 1245332279 | Paul Ezekiel Buck Sr. | Dentist | 8700 Bayberry Place, Paul E Buck Dmd, Louisville, KY 40242 | 2006-09-01 |
| 1326150947 | Terri White | Social Worker | 2603 Ballantrae Cir, Louisville, KY 40242 | 2006-08-31 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1841795317 | Ogedi Omenyinma | Non-emergency Medical Transport (VAN) | 2807 Valhalla Ct, Louisville, KY 40242-2402 | 2018-03-27 |
| 1275183451 | Emily Katherine Sturgeon | Nurse Practitioner | 8312 Easton Ln, Louisville, KY 40242-2518 | 2019-09-18 |
| 1538562376 | Sheila Mays | Social Worker | 2905 Brownsboro Vista Dr, Louisville, KY 40242-2965 | 2014-10-08 |
| 1558770032 | Judy Poiry Gradl | Occupational Therapist | 8407 Bayou Way, Louisville, KY 40242-3003 | 2014-08-08 |
| Find all providers in zip 40242 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594385 | Christine Young | Nurse Practitioner | 6804 Bainbridge Ct, Louisville, KY 40228-2335 | 2020-10-07 |
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
| 1235768037 | Patricia Amber Estes | Nurse Practitioner | 234 E Gray St Ste 154, Louisville, KY 40202-1903 | 2020-04-03 |
| 1659903201 | Farrah Alayne Thornsberry | Nurse Practitioner | 1400 Browns Ln Ste B, Louisville, KY 40207-4696 | 2020-02-11 |
| 1376101634 | Erin Lee Srader | Nurse Practitioner | 544 Baxter Ave, Louisville, KY 40204-1784 | 2019-06-03 |
| 1104387752 | Kurt F Kristiansen | Nurse Practitioner | 1862 Douglass Blvd, Louisville, KY 40205-1851 | 2019-03-27 |
| 1831573351 | Karen P Black | Nurse Practitioner | 4504 Spring Bay Ct, Louisville, KY 40241-1773 | 2015-07-14 |
| 1366787798 | Kennetha Porter | Nurse Practitioner | 4710 Champions Trace Ln Ste 102, Louisville, KY 40218-3496 | 2012-12-12 |
| 1407104128 | Tammy Rowland Reddington | Nurse Practitioner | 4004 Hurstbroune Woods Drive, Louisville, KY 40299 | 2012-08-28 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40242 |
Please comment or provide details below to improve the information on MARYL 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.