ALEXANDRIA SMITH (NPI# 1407201957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407201957 |
| Entity Type | Individual |
| Full Name | ALEXANDRIA SMITH |
| Credential | APRN |
| Practice Address |
30 Holmes Ave Waterbury CT 06710-2412 |
| Mailing Address |
246 Park St Apt 33 New Haven CT 06511-4766 |
| Practice Telephone | 8173721333 |
| Mailing Telephone | 8173721333 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
6648 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1255949269 | Alexandria Smith | Behavior Technician | 27349 Jefferson Ave Ste 204, Temecula, CA 92590-5612 | 2020-07-15 |
| 1962998831 | Alexandria N Smith | Counselor | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2018-07-03 |
| 1336658814 | Alexandria Marie Smith | Social Worker | 7801 Academy Road Ne, Bldg 2 Suite 200, Albuquerque, NM 87109 | 2017-09-27 |
| 1750811261 | Alexandria Marie Smith | Behavior Technician | 515 Palm Coast Pkwy Sw, Palm Coast, FL 32137-4739 | 2017-06-16 |
| 1073042735 | Alexandria Evaleen Smith | Counselor | 3230 Waring Ct Ste A, Oceanside, CA 92056-4509 | 2017-06-07 |
| 1699191833 | Alexandria Devaughn Smith | Developmental Therapist | 500 Fairway Dr, Ste. 102, Deerfield Bch, FL 33441-1814 | 2014-03-12 |
| 1023395712 | Alexandria Marie Smith | Pharmacist | 1230 S Longmore, Mesa, AZ 85202-9602 | 2011-11-08 |
| Street Address |
30 HOLMES AVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06710-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467813600 | Ashley Joseph | Counselor | 30 Holmes Ave, Waterbury, CT 06702 | 2016-03-16 |
| 1275032138 | David Ryan Shemanski | Social Worker | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2018-02-06 |
| 1992204994 | Cara Adams | Social Worker | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2018-02-05 |
| 1104344506 | Kimberly Burns | Nurse Practitioner | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2017-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417511718 | Michael A Mastroianni | Pharmacist | Stolls Pharmacy Inc, 185 Grove St, Waterbury, CT 06710 | 2019-04-23 |
| 1508127598 | Brenda Mcleod | Technician, Pathology | 150 Manhan St Bldg 8 Unit 5, Waterbury, CT 06710 | 2012-06-06 |
| 1659536936 | Michelle Gomes Ferreira-machado | Social Worker | 34 Murray St., Family Services of Greater Watebury, Waterbury, CT 06710 | 2008-07-25 |
| 1588699557 | Adriane Guerin | Physician Assistant | 179 Roseland Ave, Waterbury, CT 06710 | 2006-07-11 |
| 1013311554 | Chelsey Micciche | Student in an Organized Health Care Education/Training Program | 34 Murray Street, Waterbury, CT 06710 | 2014-10-13 |
| 1972905321 | Carmen Woodcock | Student in an Organized Health Care Education/Training Program | 34 Murray Street, Waterbury, CT 06710 | 2014-09-17 |
| 1841597663 | Avis Foster | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2011-02-14 |
| 1528364783 | Quiana Scott | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2011-02-07 |
| 1063716363 | Natalie Luciano | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2010-12-29 |
| 1134423437 | Mildred Figueroa | Social Worker | 34 Murray St., Waterbury, CT 06710 | 2010-12-29 |
| Find all providers in zip 06710 | ||||
| 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 |
|---|---|---|---|---|
| 1467072033 | Sarah Michelle Whalen | Nurse Practitioner | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2020-04-23 |
| 1720616246 | Susan Antoinette Pappas | Nurse Practitioner | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2020-03-30 |
| 1578022166 | Daedly Potusek | Nurse Practitioner | 80 Phoenix Ave, Waterbury, CT 06702-1418 | 2019-03-14 |
| 1124592274 | Deon Johnson-allen | Nurse Practitioner | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2019-01-11 |
| 1356818421 | Olanike Oyeyemi Idowu | Nurse Practitioner | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-10-26 |
| 1104344506 | Kimberly Burns | Nurse Practitioner | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2017-09-06 |
| 1114462561 | Shantelle Brokaw | Nurse Practitioner | 128 Cedar Ave, Waterbury, CT 06705-2700 | 2016-12-21 |
| 1134504715 | Nicholas James O'brien | Nurse Practitioner | 60 N Main St, 3rd Floor, Waterbury, CT 06702-1443 | 2015-07-24 |
| 1225461221 | Alyson Nicolosi | Nurse Practitioner | 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 | 2013-08-13 |
| 1780997601 | Barbara Kimble-goodman | Nurse Practitioner | 95 Thomaston Ave, Waterbury, CT 06702-1007 | 2010-07-20 |
| Find all providers in WATERBURY | ||||
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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.