JEREMY MICHAEL SMITH (NPI# 1508481912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508481912 |
Entity Type | Individual |
Full Name | JEREMY MICHAEL SMITH |
Practice Address |
621 W Madrone St Roseburg OR 97470-3090 |
Practice Telephone | 5416722691 |
Practice Fax Number | 5416735642 |
Mailing Telephone | 5416722691 |
Mailing Fax Number | 5416735642 |
Enumeration Date | 2020-06-11 |
Last Update Date | 2020-06-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376990622 | Jeremy Smith | Pharmacist | 21 Hampton Ct, Lancaster, NY 14086-9422 | 2016-05-17 |
1023478468 | Jeremy Smith | Physician Assistant | 3310 Runnels St, Fort Worth, TX 76106-6421 | 2016-02-27 |
1326381146 | Jeremy Smith | Counselor | 3201 Pioneers Blvd Ste 222, Lincoln, NE 68502-5963 | 2013-03-29 |
1609154244 | Jeremy Smith | Physical Therapist | 704 S Northwest Hwy, Barrington, IL 60010-4620 | 2011-08-01 |
1992004451 | Jeremy Clinton Smith | Dietitian, Registered | 304 Blaine Ave, Cloquet, MN 55720-1202 | 2011-03-23 |
1568784106 | Jeremy David Smith | Pharmacist | 1266 Nw Broad St, Murfreesboro, TN 37129-1713 | 2010-02-24 |
1184830812 | Jeremy Smith | Physical Therapist | 1920 Football Dr, Lake Forest, IL 60045-4829 | 2007-05-16 |
1154463255 | Jeremy Vanloring Smith | Optometrist | 202 W Pleasant St, Cynthiana, KY 41031-1434 | 2007-02-13 |
1891844312 | Jeremy James Smith | Dentist | 4310 Medical Parkway, Suite 203, Austin, TX 78756 | 2007-01-10 |
1033204821 | Jeremy Robert Smith | Dentist | 4355 Suwanee Dam Rd, Suwanee, GA 30024-6707 | 2006-10-04 |
Street Address |
621 W MADRONE ST |
City | ROSEBURG |
State | OR |
Zip Code | 97470-3090 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174571244 | Linda Lou Westfall | Nurse Practitioner | 621 W Madrone St, Suite 223, Roseburg, OR 97470-3090 | 2006-05-04 |
1093322919 | Natasha Ritson | Peer Specialist | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-24 |
1427664630 | Sara Clark | Peer Specialist | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-22 |
1538775754 | Aurora Petterson | Case Manager/Care Coordinator | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-22 |
1730794884 | Paige Nicole Hosford | Counselor | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-14 |
1922612035 | Fatima Jalloh | Counselor | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-04 |
1013528272 | Mae L Hoopes | Counselor | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-08-12 |
1265040018 | Angelica Laurent | Case Manager/Care Coordinator | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-07-17 |
1417574898 | Bryn Orr | Case Manager/Care Coordinator | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-07-01 |
1689298754 | Cindy Walls | Case Manager/Care Coordinator | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-06-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
Find all providers in zip 97470 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710330386 | Serenity Lane | Counselor | 2575 Nw Kline St, Roseburg, OR 97471-8827 | 2016-07-19 |
1306205984 | Susan Anne Dowell | Counselor | 548 Se Jackson Street, Roseburg, OR 97470-0254 | 2016-02-11 |
1528426517 | William C. Poulter | Counselor | 548 Sw Jackson St, Roseburg, OR 97470-2709 | 2016-02-04 |
1508295668 | Adapt | Counselor | 1215 Se Court Ave, Roseburg, OR 97470-4329 | 2013-11-08 |
1174952238 | Adapt | Counselor | 550 Se Jackson St, Roseburg, OR 97470-4923 | 2013-11-08 |
1639508708 | Adapt | Counselor | 1036 Se Douglas Ave, Roseburg, OR 97470-3301 | 2013-11-08 |
1245597582 | Alison Marie Hinson | Counselor | 850 Se Rose St, Roseburg, OR 97470-3942 | 2012-04-11 |
1114112133 | Delila S Donaldson | Counselor | 727 Se Cass Ave Ste 223, Roseburg, OR 97470-4953 | 2007-09-12 |
1639256431 | Linda Witbeck | Counselor | 913 Garden Valley Blvd, Bldg 2, Ward 2, Sartp, Roseburg, OR 97470 | 2006-11-01 |
1750373346 | Adapt | Counselor | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2005-08-18 |
Find all providers in ROSEBURG |
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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.