CAROLYN SMITH (NPI# 1548869126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548869126 |
| Entity Type | Individual |
| Full Name | CAROLYN SMITH |
| Credential | RN |
| Practice Address |
2817 Reilly St Fort Bragg NC 28310-7301 |
| Practice Telephone | 9105703162 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
479 | NC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245889773 | Carolyn Dianne Smith | Technician | 14077 Felton Rd, Gulfport, MS 39503-5131 | 2019-09-06 |
| 1225521917 | Carolyn Ann Smith | Home Health Aide | 13755 New Halls Ferry Rd, Florissant, MO 63033-3028 | 2018-06-07 |
| 1164911079 | Carolyn J Smith | Behavior Technician | 306 S Mason St, Bensenville, IL 60106-2682 | 2018-05-07 |
| 1174062319 | Carolyn Diane Smith | Registered Nurse | 2305 Springhill Ln, Lindenhurst, IL 60046-8326 | 2017-02-21 |
| 1538539580 | Carolyn Smith | Counselor | 13919 Carrollwood Village Run, Tampa, FL 33618-2746 | 2015-10-02 |
| 1649657230 | Carolyn Marian Smith | Nurse Practitioner | 1000 Morris Ave # Dn-126a, Union, NJ 07083-7133 | 2015-05-03 |
| 1962646786 | Carolyn Marion Smith | Clinic/Center | 3620 N Lauren Ln, Bloomington, IN 47404-9206 | 2009-04-23 |
| 1124226824 | Carolyn M Smith | Pharmacist | 43 Sabin St Quad Bldg Rm Qe 213, Charleston, SC 29245 | 2007-07-05 |
| 1750585063 | Carolyn R Smith | Nurse Practitioner | 326 South Side Road, Bee Branch, AR 72013-9137 | 2007-06-12 |
| 1154538460 | Carolyn Smith | Case Manager/Care Coordinator | 1500 Kanakanak Road, Dillingham, AK 99576-0310 | 2007-05-17 |
| Street Address |
2817 REILLY ST |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28310-7301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022874 | Victoria Hoang-mai O'shea | Pharmacist | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2005-09-09 |
| 1831799063 | Samantha Macchio | Optometrist | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2020-10-27 |
| 1114534666 | Lister Hokanson | Pharmacist | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2020-09-29 |
| 1689289118 | Joseph Stephen Wise | Physical Therapist | 2817 Reilly St, Fort Bragg, NC 28310-7394 | 2020-09-11 |
| 1063027779 | James Pennington Mundy Jr. | Pharmacist | 2817 Reilly St, Fort Bragg, NC 28310-7394 | 2020-09-10 |
| 1548873003 | James Coleman V | Nurse Anesthetist, Certified Registered | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2020-08-25 |
| 1740893171 | Thomas William Woodroof | Nurse Anesthetist, Certified Registered | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2020-08-25 |
| 1740892389 | Roger Wayne Webb | Nurse Anesthetist, Certified Registered | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2020-08-17 |
| 1144838517 | Josephine Kariuki | Family Medicine | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2020-07-21 |
| 1992323935 | Kelsey L Hogsett | Physician Assistant | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2020-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
| 1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
| 1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
| 1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
| 1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
| 1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
| 1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
| 1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
| Find all providers in zip 28310 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902462591 | Laura Louisa Mccoy | Registered Nurse | 194 Mckinnish Cove Rd, Asheville, NC 28806-9630 | 2019-05-20 |
| 1205334752 | Maurice Chukwudi Ejere | Registered Nurse | 2700 Nagami Ct, Raleigh, NC 27610-5889 | 2018-01-30 |
| 1902329543 | Adriane Beals | Registered Nurse | 3409 Sosa Rd, Raleigh, NC 27610-4098 | 2017-07-25 |
| 1356699144 | Catherine Mcdonald | Registered Nurse | 14928 Middlethorpe Ln, Huntersville, NC 28078-8532 | 2012-08-27 |
| 1962617803 | Janet Andrews Bohmuller | Registered Nurse | Cherry Point Naval Hospital, Bldg. 4389, Cherry Point, NC 28533 | 2007-05-14 |
| 1619060910 | Joyce Hopkins Floyd | Registered Nurse | 991 West Hudson, Gastonia, NC 28052 | 2006-10-02 |
| 1952404816 | Paula Faith Whitley | Registered Nurse | 911 West Hudson Blvd, Gastonia, NC 28052 | 2006-09-06 |
| 1396357174 | Christa Burke Tolson | Registered Nurse | 2579 Chimney Rock Rd, Hendersonville, NC 28792-9181 | 2020-08-21 |
| 1679190383 | Emma Soy | Registered Nurse | 1914 J N Pease Pl, Charlotte, NC 28262-4504 | 2020-06-29 |
| 1124650627 | Stephanie Piraino | Registered Nurse | 1203 Maple St, Greensboro, NC 27405-6910 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
| City | FORT BRAGG |
| Zip Code | 28310 |
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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.