BRENDA SMITH


Address: 16365 Cottage Grove Ave, South Holland, IL 60473-2366
Phone: 7082639757

BRENDA SMITH (NPI# 1447678081) 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) 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

Taxonomy

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

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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

Office Location

Street Address 16365 COTTAGE GROVE AVE
City SOUTH HOLLAND
State IL
Zip Code 60473-2366

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City SOUTH HOLLAND
Zip Code 60473

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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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