SAMANTHA BLAIRE SMITH (NPI# 1548742398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548742398 |
Entity Type | Individual |
Full Name | SAMANTHA BLAIRE SMITH |
Practice Address |
1946 Tennyson Ave Ne Massillon OH 44646-2600 |
Practice Telephone | 3308441391 |
Mailing Telephone | 3308441391 |
Enumeration Date | 2018-08-29 |
Last Update Date | 2018-08-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831717008 | Samantha Smith | Registered Nurse | 4428 Dr Thomas Walker Rd, Rose Hill, VA 24281-8382 | 2020-07-13 |
1417571266 | Samantha Kay Smith | Registered Nurse | 7510 Angelwing Dr, Corpus Christi, TX 78414-6081 | 2020-06-07 |
1831683267 | Samantha Smith | Physical Therapy Assistant | 334 Crandall Way, Spartanburg, SC 29301-5372 | 2018-06-19 |
1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
1912366246 | Samantha Michelle Smith | Specialist/Technologist | 2305 Milan Rd, Sandusky, OH 44870-4997 | 2016-02-15 |
1972977338 | Samantha Marie Smith | Nurse Practitioner | 9219 Cypresswood Cir, Tampa, FL 33647-2431 | 2015-11-23 |
1811380926 | Samantha Smith | Nurse Practitioner | 101 Physicians Way Ste 111, Lebanon, TN 37090 | 2015-03-13 |
1679974463 | Samantha Brittany Smith | Audiologist | 5673 Peachtree Dunwoody Rd Ste 150, Atlanta, GA 30342-1771 | 2014-09-11 |
1386991586 | Samantha Paige Smith | Case Manager/Care Coordinator | 902 S. Myrtle Ave., Monrovia, CA 91016 | 2012-08-07 |
1508133216 | Samantha Stanfield Smith | Physical Therapist | 3355 Saxony Gln, Marietta, GA 30066-4797 | 2011-11-23 |
Street Address |
1946 TENNYSON AVE NE |
City | MASSILLON |
State | OH |
Zip Code | 44646-2600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
Find all providers in zip 44646 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
1518583228 | Jessica Le | Student in an Organized Health Care Education/Training Program | 3244 Bailey St Nw, Massillon, OH 44646-3616 | 2020-06-18 |
1366979007 | Jordan Grilliot | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-05-12 |
1568997211 | Jordyn Thiel | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-05-01 |
1851826770 | Sarah Beth Slagle | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-04-28 |
1588199400 | William Durkin | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-04-28 |
1861935157 | Jennifer Porachan | Student in an Organized Health Care Education/Training Program | 2311 Nave Rd Se, Massillon, OH 44646-8822 | 2016-11-18 |
1487001228 | Nicholas E Spittle | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2016-05-23 |
1851748925 | Neysa Dominguez | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2016-05-19 |
1619232055 | Hannah Marie Mckeever | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2012-07-11 |
Find all providers in MASSILLON |
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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.