MS. ROBERTA JEAN SMITH (NPI# 1487184123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487184123 |
| Entity Type | Individual |
| Full Name | MS. ROBERTA JEAN SMITH |
| Credential | C.PED |
| Practice Address |
801 Dolliver St Pismo Beach CA 93449-2503 |
| Mailing Address |
801 Dolliver Pismo Beach CA 93449 |
| Practice Telephone | (805) 773-5571 |
| Practice Fax Number | 8057731270 |
| Mailing Telephone | 8057735571 |
| Mailing Fax Number | 8057731270 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224L00000X | Pedorthist | CPED3993 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841774684 | Roberta Marie Smith | Social Worker | 738 King St, Franklin, MA 02038-2536 | 2018-09-18 |
| 1033317128 | Roberta Leigh Smith | Speech-Language Pathologist | 4900 Los Pinos Drive Hwy 15, Pino Altos, NM 88053 | 2007-07-10 |
| 1679789275 | Roberta A. Smith | Registered Nurse | 793 S Nixon Camp Rd, Oregonia, OH 45054-9780 | 2007-05-14 |
| 1710326186 | Roberta Smith | Occupational Therapist | 1020 N Union St, Middletown, PA 17057-2158 | 2013-06-19 |
| 1356688774 | Roberta Marie Smith | Social Worker | 114 Cary St, Cary, IL 60013-2706 | 2013-01-04 |
| 1194044214 | Roberta Dayle Smith | Case Manager/Care Coordinator | 2024 W Broadway St, Muskogee, OK 74401-2758 | 2010-05-28 |
| 1013235662 | Roberta Henry Smith | Speech-Language Pathologist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2010-05-06 |
| 1134451404 | Roberta Ann Smith | Psychologist | 951 E 86th St, Executive North, Suite 140, Indianapolis, IN 46240-1849 | 2010-02-11 |
| 1316199714 | Roberta Marie Smith | Physician Assistant | 3801 Katella Ave, Suite 330, Los Alamitos, CA 90720-3338 | 2008-10-16 |
| 1912159781 | Roberta Smith | Registered Nurse | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2008-10-10 |
| Street Address |
801 DOLLIVER ST |
| City | PISMO BEACH |
| State | CA |
| Zip Code | 93449-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801822937 | The Shoe Tree, Inc | Prosthetic/Orthotic Supplier | 801 Dolliver St, Pismo Beach, CA 93449-2503 | 2006-06-23 |
| 1467889121 | Dolliver Tree, Inc. | Prosthetic/Orthotic Supplier | 801 Dolliver St, Pismo Beach, CA 93449-2503 | 2013-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831688795 | Kristyn Collins | Psychologist | 130 James Way, #150, Pismo Beach, CA 93449 | 2018-05-07 |
| 1245750140 | Judy Burke Morabito | Pedorthist | 801 Dolliver Street, Pismo Beach, CA 93449 | 2017-06-21 |
| 1295274413 | The San Luis Obispo Hearing Center, Inc | Specialist | 901 Oak Park Blvd Suite 202, Pismo Beach, CA 93449 | 2017-02-21 |
| 1649713645 | Sarah Victoria Stroemel | Counselor | 172 Stimson Ave, #3, Pismo Beach, CA 93449 | 2016-11-22 |
| 1497133631 | Byron N Collier | Podiatrist | 911 Oak Park Blvd Ste 106, Pismo Beach, CA 93449 | 2015-05-07 |
| 1982973319 | Mariana Dintyala | Nurse Practitioner | Avery Healthcare Sevices, 230 Coral Ct, Pismo Beach, CA 93449 | 2011-12-13 |
| 1538444575 | Chelsea Hunter | Student in an Organized Health Care Education/Training Program | 448 Foothill Rd, Pismo Beach, CA 93449 | 2011-10-20 |
| 1952621492 | Briana Leigh Schiro | Counselor | 314 El Portal Dr., Suite 100, Pismo Beach, CA 93449 | 2010-06-07 |
| 1134365315 | Robert Lee Hix | Licensed Psychiatric Technician | 201 Five Cities Dr., 123, Pismo Beach, CA 93449 | 2008-12-18 |
| 1689886764 | Active Physical Therapy Inc | Physical Therapist | 1851 Shell Beach Rd, Suite B, Shell Beach, CA 93449 | 2007-05-03 |
| Find all providers in zip 93449 | ||||
| Taxonomy Code | 224L00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Pedorthist |
| An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245750140 | Judy Burke Morabito | Pedorthist | 801 Dolliver Street, Pismo Beach, CA 93449 | 2017-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750993572 | Rachel Olivares | Pedorthist | 13193 Lavonda St, Eastvale, CA 92880-0789 | 2020-08-21 |
| 1871130781 | Matthew Maltezos | Pedorthist | 6536 E Spring St, Long Beach, CA 90815-1554 | 2019-12-10 |
| 1295378891 | Jennifer Faria | Pedorthist | 301 Georgia St Ste 322, Vallejo, CA 94590-5945 | 2019-10-26 |
| 1134689607 | Jesse Bittle | Pedorthist | 1830 Hacienda Dr Ste 5, Vista, CA 92081-4544 | 2019-03-21 |
| 1467929307 | Jennifer Faria | Pedorthist | 438 Annette Ave, Vallejo, CA 94591-6574 | 2018-10-29 |
| 1730600222 | Chris Bonsall Sr. | Pedorthist | 1350 Grant Rd Ste 14b, Mountain View, CA 94040-3248 | 2017-07-05 |
| 1548701675 | Gill L Majko | Pedorthist | 4941 E Walnut St # 7, Soquel, CA 95073-2433 | 2017-03-08 |
| 1740655448 | Michael Wells | Pedorthist | 1835 Chicago Ave, Unit A, Riverside, CA 92507-2378 | 2015-12-07 |
| 1659701993 | Harold Peters | Pedorthist | 685 Mary St, Redding, CA 96001-0310 | 2013-11-23 |
| 1508420589 | Argishti Madatyan | Pedorthist | 10639 Burbank Blvd, North Hollywood, CA 91601-2512 | 2019-04-25 |
| Find all providers with the same taxonomy | ||||
| City | PISMO BEACH |
| Zip Code | 93449 |
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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.