MR. THOMAS J SMITH (NPI# 1417566142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417566142 |
| Entity Type | Individual |
| Full Name | MR. THOMAS J SMITH |
| Credential | ACNP |
| Practice Address |
803 Rena St Kirksville MO 63501-2012 |
| Practice Telephone | 6603425295 |
| Mailing Telephone | 6603425295 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2019045891 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MISSOURI STATE BOARD OF NURSING NURSE PRACTITIONER LICENSE | 2019045891 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396379962 | Thomas Thornsberry Smith | Marriage & Family Therapist | 306 Wells Ave S Unit D, Renton, WA 98057-2786 | 2020-02-23 |
| 1205470176 | Thomas Anderson Smith | Psychologist | 491 Allendale Rd Ste 320, King of Prussia, PA 19406-1432 | 2019-11-04 |
| 1407320120 | Thomas B Smith | Non-emergency Medical Transport (VAN) | 2000 Abbott Cv, Cordova, TN 38016-3526 | 2019-01-15 |
| 1952802357 | Thomas Lloyd Smith Jr. | Contractor | 12291 Commonwealth Avenue, Exmore, VA 23350-1371 | 2018-02-22 |
| 1730614553 | Thomas E Smith | Social Worker | 2940 E Park Ave, Suite 1a, Tallahassee, FL 32301-3446 | 2017-04-30 |
| 1417292749 | Thomas Anson Smith | Ophthalmology | 9830 Lakeshore, West Olive, MI 49460-9553 | 2012-11-27 |
| 1710230750 | Thomas Joseph Smith | Pharmacist | W166n10560 Surrey Dr, Germantown, WI 53022-3948 | 2012-10-15 |
| 1679724280 | Thomas Seldon Smith Jr. | Dentist | 130 Us Hwy 64e, Laurel Terrace Unit 12, Cashiers, NC 28717-0451 | 2008-10-02 |
| 1144488057 | Thomas A Smith | Specialist | 10447 Hart Branch Cir, Orlando, FL 32832-5915 | 2008-05-28 |
| 1275725426 | Thomas Samuel Smith | Nurse Practitioner | 1138 N Alma School Rd Ste 120, Mesa, AZ 85201-3003 | 2007-08-13 |
| Street Address |
803 RENA ST |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| Find all providers in zip 63501 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073131298 | Rachel Catherine Selby | Nurse Practitioner | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2020-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414020 | Scarlett Long | Nurse Practitioner | 590 Nw 1751st Rd, Kingsville, MO 64061-9169 | 2020-10-12 |
| 1841897394 | Lara Kang | Nurse Practitioner | 7354 S Yorkshire Dr, Saint Louis, MO 63123-2111 | 2020-10-07 |
| 1124634373 | Taylor Eckhoff | Nurse Practitioner | 2733 Gillham Rd Apt 1n, Kansas City, MO 64108-3136 | 2020-09-22 |
| 1063039311 | Gavin Lee Flentge | Nurse Practitioner | 5658 Hwy E, Perryville, MO 63775-8405 | 2020-07-02 |
| 1134755911 | Corey Allen Blassie | Nurse Practitioner | 122 Heron Ct, Saint Peters, MO 63376-5038 | 2020-03-12 |
| 1851926638 | Deborah J Thomson-diaz | Nurse Practitioner | 15357 Lovers Ln, Excelsior Springs, MO 64024-8517 | 2020-03-11 |
| 1104459833 | Zakiya S Clemoens | Nurse Practitioner | 629 W 101st Ter, Kansas City, MO 64114-4236 | 2020-02-21 |
| 1265064703 | Kelsey Elizabeth Ortmann | Nurse Practitioner | 4962 Tyrolean Ave, Saint Louis, MO 63109-3760 | 2020-02-11 |
| 1730725987 | Chelsea Amack | Nurse Practitioner | 9011 N Byfield Ave, Kansas City, MO 64154-1838 | 2019-11-22 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| Find all providers with the same taxonomy | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
Please comment or provide details below to improve the information on MR. THOMAS J 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.