DANIEL EARL SMITH (NPI# 1376183665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376183665 |
| Entity Type | Individual |
| Full Name | DANIEL EARL SMITH |
| Practice Address |
8501 Nw Madische Rd Lawton OK 73507-1221 |
| Mailing Address |
Po Box 908 Lawton OK 73502-0908 |
| Practice Telephone | 5804923614 |
| Mailing Telephone | 5804923614 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OKLAHOMA DRIVERS LISCENSE | F082638448 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073146478 | Daniel J Smith | Counselor | 52 Park Ave, Park Ridge, NJ 07656-1277 | 2020-02-14 |
| 1790101616 | Daniel Smith | Nurse Practitioner | 11100 Se Petrovitsky Rd Apt C206, Renton, WA 98055-5645 | 2014-03-17 |
| 1750704888 | Daniel Charles Smith | Social Worker | 241golf Mill Center Suite 708, Niles, IL 60714 | 2014-01-24 |
| 1104259837 | Daniel Lloyd Smith | Counselor | 11648 Gravois Rd Ste 245, Saint Louis, MO 63126-3034 | 2013-08-16 |
| 1609212919 | Daniel Eldridge Smith | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350 | 2013-05-14 |
| 1952655334 | Daniel Cass Smith | Community Health Worker | 4806 N Perkins Rd, Stillwater, OK 74075-1710 | 2012-11-06 |
| 1689926677 | Daniel V Smith | Psychologist | 2600 Center Street Ne (office Go5-216), Oregon State Hospital, Forensic Evaluation Service, Salem, OR 97301-2669 | 2012-10-15 |
| 1124379094 | Daniel Jared Smith | Chiropractor | 1836 Roswell St Se Apt 1305, Smyrna, GA 30080-2244 | 2012-10-01 |
| 1134498330 | Daniel Timothy Smith | Student in an Organized Health Care Education/Training Program | 1500 S 48th St Ste 506, Lincoln, NE 68506-1279 | 2011-12-19 |
| 1033411228 | Daniel Earl Smith | Student in an Organized Health Care Education/Training Program | 2547 Ne 47th Ave, Portland, OR 97213-1917 | 2010-11-22 |
| Street Address |
8501 NW MADISCHE RD |
| City | LAWTON |
| State | OK |
| Zip Code | 73507-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528602505 | Robert Hausman | Case Manager/Care Coordinator | 8501 Nw Madische Rd, Lawton, OK 73507-1221 | 2019-11-01 |
| 1871123406 | Timothy Leroy Parker Jr. | Peer Specialist | 8501 Nw Madische Rd, Lawton, OK 73507-1221 | 2020-01-23 |
| 1518597632 | Lisa Marie Hiddleston | Peer Specialist | 8501 Nw Madische Rd, Lawton, OK 73507-1221 | 2020-01-16 |
| 1780224907 | Michael Alan Lorentz I | Peer Specialist | 8501 Nw Madische Rd, Lawton, OK 73507-1221 | 2020-01-15 |
| 1689214892 | John Fitzgerald Woosypiti | Peer Specialist | 8501 Nw Madische Rd, Lawton, OK 73507-1221 | 2020-01-15 |
| 1932749157 | Manolito Jose Portillo II | Peer Specialist | 8501 Nw Madische Rd, Lawton, OK 73507-1221 | 2020-01-15 |
| 1548800907 | Winrod Yackeschi Red Elk | Peer Specialist | 8501 Nw Madische Rd, Lawton, OK 73507-1221 | 2020-01-13 |
| 1689214132 | Devin Eli Toahty | Peer Specialist | 8501 Nw Madische Rd, Lawton, OK 73507-1221 | 2020-01-13 |
| 1104465509 | Christine A Machado | Peer Specialist | 8501 Nw Madische Rd, Lawton, OK 73507-1221 | 2020-01-02 |
| 1538703533 | Ricardo Isidoro Flores | Case Manager/Care Coordinator | 8501 Nw Madische Rd, Lawton, OK 73507-1221 | 2019-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720619935 | Kori Wren Wiegmann | Registered Nurse | 1515 Nw Lawrie Tatum Road, Lawton, OK 73507 | 2020-01-28 |
| 1013424027 | Liane Jacobson | Registered Nurse | 1515 Laurie Tatum Road, Adult Care Clinic 2, Lawton, OK 73507 | 2017-12-29 |
| 1649727041 | Rachel Ayala | Dietitian, Registered | 2811 Nw Hilltop Dr, Lawton, OK 73507 | 2016-09-02 |
| 1811370471 | William S, Davies, M.d., Inc. | Psychiatric Residential Treatment Facility | 1302 N, W, Lake Ave, Lawton, OK 73507 | 2015-07-01 |
| 1538554894 | Ashlee A Haugen-lewis | Behavioral Analyst | 4121 W Gore, Lawton, OK 73507 | 2015-04-03 |
| 1003188970 | Jenny Rae Mohon | Registered Nurse | 1515 North East Lawrie Tatum Road, Usphs Lawton Indian Hospital, Lawton, OK 73507 | 2012-02-07 |
| 1558548578 | Dawn M Griffith | Registered Nurse | 1515 Lawrie Tatum Dr., Lawton, OK 73507 | 2008-01-22 |
| 1275605172 | Judy Weiss | Pharmacist | 524 Lawrie Tatum Rd, Lawton, OK 73507 | 2006-11-15 |
| 1790895894 | William Spalding Davies | Psychiatry & Neurology | 1302 Lake Ave, Lawton, OK 73507 | 2006-08-30 |
| 1275646374 | Phillip Lynn Aday | Dentist | 1116 Nw Arlington, Lawton, OK 73507 | 2006-08-16 |
| Find all providers in zip 73507 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134755812 | Tracy Marie Poafpybittty | Peer Specialist | 4904 Se Tattershall Way, Lawton, OK 73501-6400 | 2020-03-13 |
| 1932739935 | Paula Jean Cooper | Peer Specialist | 905 Sw 16th St, Lawton, OK 73501-4828 | 2020-01-19 |
| 1366072332 | Cheyenne Prettyflower Warner | Peer Specialist | 203 Sw 23rd Pl, Lawton, OK 73505-7125 | 2020-01-18 |
| 1699315408 | Ronald Dean Ramos I | Peer Specialist | 584 Nw Bingo Rd, Lawton, OK 73507-1214 | 2020-01-09 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1740639780 | Michael Alexander Watson | Peer Specialist | 6843 Nw Willow Springs Dr, 1211 Sw F Ave, Lawton, OK 73505-4251 | 2016-06-10 |
| 1821470410 | Rachel Marchbanks | Peer Specialist | 3606 Ne Willow Way, Lawton, OK 73507-4200 | 2015-06-19 |
| 1972995462 | Christian Lasiter | Peer Specialist | 1505 Sw 11th St Apt B4, Lawton, OK 73501-7376 | 2015-02-20 |
| 1811504145 | Renee Sosebee | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-09-30 |
| 1679180970 | Latricia Murphy | Peer Specialist | 602 Sw 38th St, Lawton, OK 73505-6912 | 2020-09-30 |
| Find all providers in LAWTON | ||||
Please comment or provide details below to improve the information on DANIEL EARL 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.