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).
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 |
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 |
Street Address |
213 S JEFFERSON STREET SUITE 625 |
City | ROANOKE |
State | VA |
Zip Code | 24011-1700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578009346 | Debra Jean Massaro | Nurse Practitioner | 123 Sesame St., Roanoke, VA 24011 | 2017-01-17 |
1568405884 | Jilda Edean Long | Optometrist | 22 Campbell Ave Se, Roanoke, VA 24011 | 2006-06-14 |
1558415117 | Total Action Against Poverty | Voluntary or Charitable | 145 Campbell Ave Sw, Suite 601, Roanoke, VA 24011-1211 | 2007-01-22 |
1164040960 | Daniel Scott Feivor | Physician Assistant | 131 Campbell Ave Sw Ste 215, Roanoke, VA 24011-1241 | 2020-07-08 |
1467019398 | Michael Gumpert | Military Health Care Provider | 35 Campbell Ave Sw Apt 215, Roanoke, VA 24011-1335 | 2019-05-27 |
1700070083 | Long Sight, PC | Clinic/Center | 22 Campbell Ave Se, Roanoke, VA 24011-1404 | 2007-08-30 |
1679717151 | Blue Ridge Behavioral Healthcare | Community/Behavioral Health | 302 2nd St Sw Fl 2, Roanoke, VA 24011-1514 | 2009-04-28 |
1679717854 | Monique Deberry Worrell | Social Worker | 302 2nd St Sw Fl 2, Roanoke, VA 24011-1514 | 2009-05-01 |
1265523211 | City of Roanoke | Clinic/Center | 120 Kirk Ave Sw, Roanoke, VA 24011-1602 | 2006-09-27 |
1447206370 | Carilion Healthcare Corporation | Clinic/Center | 213 S Jefferson St, Suite 416, Roanoke, VA 24011-1705 | 2006-05-25 |
Find all providers in zip 24011 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
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 |
Find all providers in ROANOKE |
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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.