AUTUMN SMITH (NPI# 1518416486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518416486 |
| Entity Type | Individual |
| Full Name | AUTUMN SMITH |
| Practice Address |
20 S Sprigg St Cape Girardeau MO 63703-6212 |
| Practice Telephone | 5736514177 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588223754 | Autumn Smith | Physician Assistant | 175 Webster Square Rd, Berlin, CT 06037-2328 | 2019-06-11 |
| 1295274710 | Autumn Fladmo Smith | Nutritionist | 4933 Juneberry Ct, San Diego, CA 92123-6434 | 2017-02-16 |
| 1164960118 | Autumn Smith | Licensed Practical Nurse | 3727 W Main Street Rd, Apt A6, Batavia, NY 14020-9408 | 2017-02-09 |
| 1649658436 | Autumn Elaine Smith | Physical Therapy Assistant | 2000 Highway 25b Ste A1, Heber Springs, AR 72543-6418 | 2015-05-12 |
| 1952702649 | Autumn Smith | Counselor | 727 Smokey Wood Dr, Swissvale, PA 15218-2734 | 2014-09-12 |
| 1124451877 | Autumn Elizabeth Smith | Speech-Language Pathologist | 2500 W Bradley Pl Ste 109, Chicago, IL 60618-4716 | 2013-08-16 |
| 1285233643 | Autumn Hope Smith | Internal Medicine | 1000 South Ave, Rochester, NY 14620-2733 | 2020-10-18 |
| 1821644626 | Autumn B Smith | Physical Therapist | 2690 Madison St Ste 120, Clarksville, TN 37043-5984 | 2019-08-16 |
| 1043787971 | Autumn Lee Smith | Developmental Therapist | 9909 E 100 S, Greentown, IN 46936-9163 | 2018-10-29 |
| 1003349879 | Autumn Rae Smith | Obstetrics & Gynecology | 1657 Trinity Dr, Pensacola, FL 32504-5708 | 2017-04-07 |
| Street Address |
20 S SPRIGG ST |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-6212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468627 | Dana C Branson | Social Worker | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2005-06-23 |
| 1972138428 | Afraica Renee Sager | Clinic/Center | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2020-03-05 |
| 1902446685 | Rosieeather Dixon | Behavior Technician | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2020-01-10 |
| 1316587181 | Stephanie Renae Cruse | Technician | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2020-01-09 |
| 1184263790 | Sarah Bridges | Case Manager/Care Coordinator | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2019-12-30 |
| 1942863923 | Emily Nolen | Case Manager/Care Coordinator | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2019-04-16 |
| 1902372907 | Morgan Elaine Schaupert | Behavior Technician | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2018-10-17 |
| 1417432600 | Cathryn Lynn Maya | Peer Specialist | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2018-10-03 |
| 1487150462 | Amy Turnbull | Counselor | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2018-03-30 |
| 1073017752 | Daphne Marie Larson | Peer Specialist | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2018-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417432600 | Cathryn Lynn Maya | Peer Specialist | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2018-10-03 |
| 1073017752 | Daphne Marie Larson | Peer Specialist | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2018-03-19 |
| 1578061958 | Katy Roth | Peer Specialist | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2018-01-31 |
| 1992219612 | Jessica Shirrell | Peer Specialist | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2017-11-17 |
| 1275046120 | Kayla Shuffit | Peer Specialist | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2017-11-14 |
| 1780197533 | Jennifer Wilcox | Peer Specialist | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2017-11-14 |
| 1487171690 | Sarah Brynn Cordia | Peer Specialist | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2017-08-28 |
| 1871018747 | Laciee E Rousseau | Peer Specialist | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2017-08-11 |
| 1649794835 | Mary Leigh Robbins | Peer Specialist | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2017-07-28 |
| 1932644473 | Darnesh Shiloh | Peer Specialist | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2016-12-19 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
Please comment or provide details below to improve the information on AUTUMN 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.