BRENDA SMITH (NPI# 1447678081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447678081 |
Entity Type | Individual |
Full Name | BRENDA SMITH |
Credential | NURSE PRACTITIONER |
Practice Address |
16365 Cottage Grove Ave South Holland IL 60473-2366 |
Practice Telephone | 7082639757 |
Mailing Telephone | 7082639757 |
Enumeration Date | 2014-04-01 |
Last Update Date | 2014-04-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209011357 041325 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780207043 | Brenda Ann Smith | Nurse Practitioner | 10189 Chestnut Oak Dr, Independence, KY 41051-8805 | 2020-05-21 |
1487168142 | Brenda G Smith | Massage Therapist | 1545 E Iron Eagle Dr Ste 103, Eagle, ID 83616-7079 | 2017-11-16 |
1538570999 | Brenda Smith | Student in an Organized Health Care Education/Training Program | 4404 Epperly Dr, Del City, OK 73115-3730 | 2014-05-19 |
1467873901 | Brenda Smith | Occupational Therapy Assistant | 2290 Crow Creek Rd, Bettendorf, IA 52722-2096 | 2013-12-31 |
1164843330 | Brenda Ariel Smith | Counselor | 3600 S Beeler St Ste 340, Denver, CO 80237-1801 | 2013-12-13 |
1730425307 | Brenda Gayle Smith | Clinical Nurse Specialist | 20 Hawkins St Apt G, Dahlonega, GA 30533-1154 | 2012-12-29 |
1336491414 | Brenda R Smith | Counselor | 17596 Davis Rd, Georgetown, DE 19947-4427 | 2012-10-12 |
1770809931 | Brenda Leigh Smith | Registered Nurse | 7145 W Yucca St, Peoria, AZ 85345-5844 | 2010-04-13 |
1841527686 | Brenda G Smith | Nurse Practitioner | 1124 N. Broadway, Knoxville, TN 37917 | 2009-11-16 |
1427228329 | Brenda Carol Smith | Specialist | 1800 Fair Oaks Ave # C, South Pasadena, CA 91030-4776 | 2008-03-06 |
Street Address |
16365 COTTAGE GROVE AVE |
City | SOUTH HOLLAND |
State | IL |
Zip Code | 60473-2366 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558826453 | Beverly Hadley, Dds P.C. | Dentist | 16282 Prince Drive, South Holland, IL 60473 | 2019-02-05 |
1053830828 | Caring Shepherds Health Care Inc | In Home Supportive Care | 15525 South Park Ave, Suite 103b, South Holland, IL 60473 | 2017-09-13 |
1972039469 | Dipeeka Patel | Nurse Practitioner | 430 E 162nd St # 487, South Holland, IL 60473 | 2017-05-03 |
1134576036 | A&j Transportation LLC | Non-emergency Medical Transport (VAN) | 16610 Langley Ave, South Holland, IL 60473 | 2016-05-20 |
1902204902 | Np Prn LLP | Clinic/Center | 16456 Dobson, South Holland, IL 60473 | 2014-12-08 |
1033415328 | Twfj Inc | Private Vehicle | 15059 Forestview, South Holland, IL 60473 | 2011-02-03 |
1871751396 | Arlene Gardner | Counselor | 16107 Lasalle Street, South Holland, IL 60473 | 2008-05-30 |
1952576233 | Harvey Family Center | Voluntary or Charitable | 16247 Wausau Ave., South Holland, IL 60473 | 2008-04-28 |
1548452725 | Chirospaaah | Chiropractor | 944 East 162nd St., South Holland, IL 60473 | 2007-08-13 |
1033313341 | Myra D Staples | Social Worker | 430 East 167th Street, South Holland, IL 60473 | 2007-06-12 |
Find all providers in zip 60473 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578160537 | Taria Miles | Nurse Practitioner | 16459 Woodlawn East Ave, South Holland, IL 60473-2557 | 2020-10-02 |
1306475488 | Shadae Booker-shelton | Nurse Practitioner | 16907 Merrill Ave, South Holland, IL 60473-2632 | 2020-04-02 |
1952879777 | Folarin Opakunle | Nurse Practitioner | 15525 S Park Ave Ste 103a, South Holland, IL 60473-1379 | 2018-11-09 |
1447794144 | Alexandra Mendez | Nurse Practitioner | 685 E 154th Pl, South Holland, IL 60473-1345 | 2016-12-14 |
1972141497 | Colleen Trnka | Nurse Practitioner | 100 W 162nd St, South Holland, IL 60473-2003 | 2019-12-16 |
1770093171 | Sandre Leona Crain | Nurse Practitioner | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2017-10-11 |
1669982427 | Marisol Munoz | Nurse Practitioner | 100 W 162nd St, South Holland, IL 60473-2003 | 2017-10-06 |
1154875011 | Kimballs Healthcare Consultants | Nurse Practitioner | 430 E 162nd St, South Holland, IL 60473-2258 | 2016-08-09 |
1730545955 | Josalynn M Brown | Nurse Practitioner | 430 E 162nd St, South Holland, IL 60473-2258 | 2016-01-04 |
1134348246 | Jennifer Norris Rosas | Nurse Practitioner | 15821 S Park Ave, South Holland, IL 60473-1506 | 2007-04-25 |
Find all providers in SOUTH HOLLAND |
City | SOUTH HOLLAND |
Zip Code | 60473 |
Please comment or provide details below to improve the information on BRENDA 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.