MRS. KATHLEEN MARIE SMITH (NPI# 1457413262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457413262 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN MARIE SMITH |
| Credential | RN |
| Practice Address |
175 Gwinnett Dr Lawrenceville GA 30045-8444 |
| Mailing Address |
6655 River Crest Pt Suwanee GA 30024-4220 |
| Practice Telephone | 7703395000 |
| Practice Fax Number | 7708221698 |
| Mailing Telephone | 7707818991 |
| Mailing Fax Number | 7707815705 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
RN126437 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528615184 | Kathleen Smith | Nurse Practitioner | 601 Channelside Walk Way Apt 1438, Tampa, FL 33602-6741 | 2019-08-19 |
| 1750869970 | Kathleen Helen Smith | Community/Behavioral Health | 27 Wildwood, Irvine, CA 92604-3341 | 2018-07-31 |
| 1821593138 | Kathleen Marie Smith | Nurse Practitioner | 44456 Brookside Rd, Plymouth, MI 48170-3848 | 2018-03-28 |
| 1700386588 | Kathleen Marie Smith | Registered Nurse | 14289 Burnt Mls, Willis, TX 77318-6791 | 2018-02-18 |
| 1851750160 | Kathleen Christensen Smith | Acupuncturist | 10 S Hanson St Ste 27, Easton, MD 21601-3078 | 2016-02-15 |
| 1992109755 | Kathleen W. Smith | Nurse Practitioner | 900 Main Street Suite 280, Peoria, IL 61636-4688 | 2014-10-22 |
| 1861895534 | Kathleen Ann Smith | Pharmacist | 243 S. Prospect St., Nanticoke, PA 18634 | 2014-10-08 |
| 1427334408 | Kathleen Ann Smith | Social Worker | 2239 Nw 19th St, Oklahoma City, OK 73107-3542 | 2011-10-22 |
| 1326323882 | Kathleen Lesh Smith | Massage Therapist | 16306-b Hwy. 84, Chama, NM 87520 | 2011-10-17 |
| 1558675116 | Kathleen H Smith | Pharmacist | 1920 E Beau St, Washington, PA 15301-3188 | 2010-08-05 |
| Street Address |
175 GWINNETT DR |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-8444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609853860 | View Point Health | Day Training, Developmentally Disabled Services | 175 Gwinnett Dr, Post Office Box 687, Lawrenceville, GA 30046-8444 | 2005-12-29 |
| 1235739400 | Jennifer Kabiu | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-10-27 |
| 1164021135 | Irene Bautista Lopez | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-10-21 |
| 1720686132 | Kimberly Gamble | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-10-16 |
| 1205443868 | Pablo David Faundez | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-28 |
| 1295341717 | Sydney Calloway | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-21 |
| 1275149932 | Kenysha Doyen Thompson | Social Worker | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-18 |
| 1457967218 | Taylor Mays | Social Worker | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-17 |
| 1366058299 | Emma Paduraru | Nutritionist | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-16 |
| 1922613330 | Shamikia Mcghee | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739400 | Jennifer Kabiu | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-10-27 |
| 1013372358 | Wendy Wolf Segal | Registered Nurse | 615 Lawrenceville Suwanee Rd, Lawrenceville, GA 30046-4325 | 2015-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720626963 | Patti Mckinley Prater | Registered Nurse | 37 Calumet Pkwy Ste 101, Newnan, GA 30263-6734 | 2019-12-18 |
| 1851932156 | Nancy Ann Ivie | Registered Nurse | 4271 S Lee St Ste 101, Buford, GA 30518-3710 | 2019-10-08 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1346734217 | Ella Michelle Stephenson | Registered Nurse | 7002 Annie Walk, Lithonia, GA 30038-4675 | 2018-06-14 |
| 1689182685 | Candace Annette Thompson | Registered Nurse | 4751 Best Rd Ste 150, Atlanta, GA 30337-5601 | 2018-01-12 |
| 1093251167 | Emily Ann Brumfield | Registered Nurse | 2109 Fairburn Rd, Ste A, Douglasville, GA 30135-1037 | 2017-01-13 |
| 1275080541 | Brenda Goodgame | Registered Nurse | 109 Austin Way, 109 Austin Way, Savannah, GA 31419-6207 | 2016-09-05 |
| 1437425899 | Shasheeta Youlanda Hammond | Registered Nurse | 1300 Georgian Pl Apt 5, Dalton, GA 30720-4388 | 2012-03-29 |
| 1679804603 | County Paradise Assisted Living | Registered Nurse | 546 Macon Road, Mcintyre, GA 31054 | 2010-01-14 |
| 1275775801 | Cynthia Ann Frissora Murray | Registered Nurse | 6563 Garrett Rd, Buford, GA 30518-1109 | 2009-03-27 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
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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.