KATIE SMITH (NPI# 1548887995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548887995 |
Entity Type | Individual |
Full Name | KATIE SMITH |
Practice Address |
1175 W Pecos Rd Chandler AZ 85224-5212 |
Mailing Address |
2852 Lodge Pole Ct North Las Vegas NV 89030-5213 |
Practice Telephone | 7025613408 |
Mailing Telephone | 7025613408 |
Enumeration Date | 2020-07-01 |
Last Update Date | 2020-07-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 85-1717824 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
1093175002 | Katie Smith | Occupational Therapist | 4533 Montclair Cir, Gainesville, GA 30506-5134 | 2016-03-03 |
1164842175 | Katie Smith | Speech-Language Pathologist | 772 Maple St, Natchez, MS 39120-2387 | 2014-04-17 |
1215220157 | Katie Condos Smith | Massage Therapist | 64 Kearsarge Rd, North Conway, NH 03860 | 2011-05-25 |
1790398071 | Katie Smith | Speech-Language Pathologist | 1353 E Main St, Brownsburg, IN 46112-1433 | 2020-08-26 |
1447875125 | Katie Rose Smith | Dentist | 875 Park Ave, Mandeville, LA 70448-4920 | 2020-06-09 |
1144889718 | Katie Smith | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2019-06-07 |
1194295105 | Katie Smith | Occupational Therapist | 815 Nw 9th St Ste 180, Corvallis, OR 97330-6173 | 2018-12-03 |
1255800157 | Katie Smith | Counselor | 17844 E 23rd St S, Independence, MO 64057-1840 | 2018-11-20 |
1154827335 | Katie Alison Smith | Student in an Organized Health Care Education/Training Program | 320 E North Ave, Pittsburgh, PA 15212-4772 | 2018-04-05 |
Street Address |
1175 W PECOS RD |
City | CHANDLER |
State | AZ |
Zip Code | 85224-5212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619274115 | De Ann L Ferrell | Reflexologist | 1175 W Pecos Rd, #2134, Chandler, AZ 85224-5212 | 2011-02-17 |
1043608565 | Angela's Massage and Bodywork | Clinic/Center | 1175 W Pecos Rd, 1075, Chandler, AZ 85224-5212 | 2015-01-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
Find all providers in zip 85224 |
Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598387490 | Serenity Residential Homes, LLC | Community Based Residential Treatment Facility, Mental Illness | 101 W Hackberry Dr, Chandler, AZ 85248-4012 | 2020-05-13 |
1679118848 | Jf Residential LLC | Community Based Residential Treatment Facility, Mental Illness | 2225 W Frye Rd, Chandler, AZ 85224-6477 | 2019-11-12 |
1073175048 | A Brighter Day Living Center LLC | Community Based Residential Treatment Facility, Mental Illness | 264 N Exeter St, Chandler, AZ 85225-4657 | 2019-06-30 |
1003314428 | Victory Manor LLC. | Community Based Residential Treatment Facility, Mental Illness | 1041 S Yucca Pl, Chandler, AZ 85286-0982 | 2018-01-31 |
1770931966 | Jussamal Manor 11 | Community Based Residential Treatment Facility, Mental Illness | 641 S. Karen Dr., Chandler, AZ 85224 | 2016-05-27 |
1598124075 | Pastalino Manor LLC 3 | Community Based Residential Treatment Facility, Mental Illness | 2264 W Olive Way, Chandler, AZ 85248-4184 | 2016-02-12 |
1881001832 | Better Horizons LLC | Community Based Residential Treatment Facility, Mental Illness | 2204 E Firestone Dr, Chandler, AZ 85249-4636 | 2014-07-22 |
1487923439 | Winding Woods Manor L,l.c. | Community Based Residential Treatment Facility, Mental Illness | 3691 S Ashley Pl, Chandler, AZ 85286-2618 | 2011-12-20 |
1568740801 | Jussamal Manor | Community Based Residential Treatment Facility, Mental Illness | 3047 E Kingbird Pl, Chandler, AZ 85286-5615 | 2011-08-03 |
1396057600 | Odel Burnes Sr. | Community Based Residential Treatment Facility, Mental Illness | 3268 E Goldfinch Way, Chandler, AZ 85286-5732 | 2010-07-02 |
Find all providers in CHANDLER |
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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.