MANDA SHAE SMITH (NPI# 1457911562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457911562 |
| Entity Type | Individual |
| Full Name | MANDA SHAE SMITH |
| Credential | NP |
| Practice Address |
800 W Central Rd Arlington Heights IL 60005-2349 |
| Mailing Address |
2100 Oak Ave Northbrook IL 60062-5216 |
| Practice Telephone | 8476181000 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209019533 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209019533 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 W CENTRAL RD |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60005-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407916 | Panayota P Kleinman | Internal Medicine | 800 W Central Rd, Northwest Community Hospital Medical Staff Office, Arlington Heights, IL 60005-2349 | 2005-06-16 |
| 1861043432 | Amit Patel | Nurse Practitioner | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2019-09-25 |
| 1992369201 | Melinda Beth Ficarra | Nurse Practitioner | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2019-04-23 |
| 1134687015 | Alok Salgia | Pharmacist | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2019-03-08 |
| 1780140806 | Jessica Rose Urbach | Physician Assistant | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2019-02-13 |
| 1528539426 | Anastashia N Guillory | Registered Nurse | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2018-12-17 |
| 1457868689 | Brittany Ippensen | Nurse Practitioner | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2018-01-09 |
| 1871006239 | Northwest Community Hospital | Pharmacy | 800 W Central Rd, Suite 1100, Arlington Heights, IL 60005-2349 | 2017-11-08 |
| 1720519911 | Daniel Linden | Hospitalist | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2017-03-21 |
| 1972042521 | Kristin Ryan | Nurse Practitioner | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2017-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033673330 | Salario Senior Care, Inc. | In Home Supportive Care | 1020 S. Arlington Heights Road Ste 1 Nw, Arlington Heights, IL 60005 | 2019-01-31 |
| 1265922355 | Kathy Pawlusiewicz Dds. Dba Prospect Dental | Dentist | 1120 E. Central Rd., Arlington Heights, IL 60005 | 2018-05-14 |
| 1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
| 1679076269 | Patrick O'neill | Specialist/Technologist | 1115 W Francis Dr, Arlington Hts, IL 60005 | 2018-03-09 |
| 1326556861 | Danielle Marie Frye Hughes | Chiropractor | 825 E Golf Rd Ste 1147, Arlington Heights, IL 60005 | 2018-01-18 |
| 1568977890 | Nicole L Pollard | Counselor | 121 New Wilke Road, Suite 101, Arlington Heights, IL 60005 | 2017-12-08 |
| 1477062701 | New Family Dental | Dentist | 1768 W Algonqun Rd, Arlington Heights, IL 60005 | 2017-09-29 |
| 1346775715 | Laura Marie Ipjian | Counselor | 121 S Wilke Rd Ste 232, Arlington Heights, IL 60005 | 2017-04-24 |
| 1285051615 | Christopher Colby | Student in an Organized Health Care Education/Training Program | 1600 W. Cnetral Rd., Arlington Heights, IL 60005 | 2014-03-24 |
| 1497181697 | Legacy Medical Care Inc | Clinic/Center | 121 S. Wilke Rd, Suite 600, Arlington Heights, IL 60005 | 2013-09-19 |
| Find all providers in zip 60005 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083177489 | Dena Pelletreau | Nurse Practitioner | 880 W Central Rd Ste 5000, Arlington Heights, IL 60005-2355 | 2019-04-11 |
| 1912084328 | Erika Mcquade | Nurse Practitioner | 800 W Central Rd, Best Practices-emergency Department, Arlington Heights, IL 60005-2349 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759461 | Sarah Westerman | Nurse Practitioner | 721 Dover Ct, Pingree Grove, IL 60140-9181 | 2020-10-28 |
| 1609485424 | Intensive Karen LLC | Nurse Practitioner | 612 Mulford St Apt 503, Evanston, IL 60202-3531 | 2020-07-28 |
| 1609484591 | Jennifer Kuczero | Nurse Practitioner | 4059 W 89th Pl, Hometown, IL 60456-1202 | 2020-07-16 |
| 1205452489 | Aneta Trybula | Nurse Practitioner | 10604 W 154th Pl, Orland Park, IL 60462-6025 | 2020-06-23 |
| 1740742170 | Jenna C Reeh | Nurse Practitioner | 1740 W Taylor St # 605e, Chicago, IL 60612-7232 | 2019-04-04 |
| 1588125116 | Sherryl Estorque | Nurse Practitioner | 9033 W Heathwood Cir, Niles, IL 60714-5807 | 2019-03-27 |
| 1992276497 | Laura Beth Miller | Nurse Practitioner | 302 W Hay St Ste 110, Decatur, IL 62526-4167 | 2018-12-09 |
| 1932674322 | Ashleigh M Poptic | Nurse Practitioner | 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 | 2018-10-11 |
| 1215415039 | Julieanne Ferguson | Nurse Practitioner | 251 E Huron St Dept Of, Chicago, IL 60611-2908 | 2018-08-02 |
| 1275024523 | Lateisha Nicole Fort | Nurse Practitioner | 1222 E 170th St, South Holland, IL 60473-3558 | 2018-05-22 |
| Find all providers with the same taxonomy | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60005 |
Please comment or provide details below to improve the information on MANDA SHAE 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.