MRS. TENNILLE ALYCEE SMELCER


Address: 213 S Jefferson Street, Suite 625, Roanoke, VA 24011-1700
Phone: 5402245688

MRS. TENNILLE ALYCEE SMELCER (NPI# 1386892362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386892362
Entity Type Individual
Full Name MRS. TENNILLE ALYCEE SMELCER
Credential ACNP
Practice Address 213 S Jefferson Street
Suite 625
Roanoke
VA 24011-1700
Mailing Address 2001 Crystal Spring Ave Sw
Suite 201
Roanoke
VA 24014-2462
Practice Telephone 5402245688
Practice Fax Number 5402245684
Mailing Telephone 5408530100
Mailing Fax Number 5403429308
Enumeration Date 2008-09-03
Last Update Date 2009-03-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
0024167947 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 213 S JEFFERSON STREET
SUITE 625
City ROANOKE
State VA
Zip Code 24011-1700

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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992115901 Charles Monroe Bullins II Nurse Practitioner 201 Crystal Spring Ave Sw, Suite 201, Roanoke, VA 24104 2014-04-29
1316582422 Dulguun Khaltar Nurse Practitioner 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2019-11-12
1033752738 Katherine Wood Nurse Practitioner 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2019-10-25
1356991012 Bethany Rose Crane Nurse Practitioner 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2019-09-16
1386113983 Jamie Neal Spradlin Nurse Practitioner 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2018-11-13
1063988681 Katherine Julie Gill Nurse Practitioner 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 2018-10-22
1801251806 Emily Lawson Bennett Nurse Practitioner 101 Elm Ave Se, Roanoke, VA 24013 2015-12-18
1417326703 Emily Renee Fischer Nurse Practitioner 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2015-09-17
1982087359 Sarah Mullins Nurse Practitioner 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2015-07-03
1356733711 Chantelle Rowe Nurse Practitioner 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2015-02-23
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Competitor

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City ROANOKE
Zip Code 24011

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Dataset Information

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.

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