MRS. CAROL LYNN SMITH (NPI# 1568553378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568553378 |
Entity Type | Individual |
Full Name | MRS. CAROL LYNN SMITH |
Credential | DTR |
Practice Address |
1603 E Fourth Plain Blvd Vancouver WA 98661-3753 |
Mailing Address |
11303 Ne Mead Rd Vancouver WA 98682-9591 |
Practice Telephone | 3606964061 |
Mailing Telephone | 3602546435 |
Enumeration Date | 2006-09-27 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 136A00000X | Dietetic Technician, Registered | Dietary & Nutritional Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720565419 | Carol E Smith | Registered Nurse | 1623 Evergreen Dr, Rapid City, SD 57702-3454 | 2018-07-25 |
1497104954 | Carol Watson Smith | Registered Nurse | 2439 Manhattan Blvd Ste 403, Harvey, LA 70058-5328 | 2016-06-06 |
1083091052 | Carol Smith | Registered Nurse | 15702 E Crestridge Cir, Centennial, CO 80015-4212 | 2015-04-29 |
1003150228 | Carol L Smith | Registered Nurse | 4549 Vinegar Hill Rd, Skaneateles, NY 13152-9385 | 2012-11-15 |
1932403904 | Carol A. Smith | Counselor | 140 Ashwood Rd, Villanova, PA 19085-1502 | 2011-01-05 |
1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
1962731877 | Carol Dean Smith | Home Health Aide | 1436 Sierra Dr, Petaluma, CA 94954-3718 | 2009-12-24 |
1366673030 | Carol Council Smith | Psychologist | 50 Stoneridge Rd., Durham, NC 27705-5578 | 2009-07-29 |
1396998217 | Carol Smith | Counselor | 15218 E Fackly Springs Rd, Kingman, AZ 86401-8578 | 2008-10-23 |
1477753242 | Carol Frances Smith | Social Worker | 635 N. Main St., Saint Paul, KS 66771-0302 | 2007-07-20 |
Street Address |
1603 E FOURTH PLAIN BLVD |
City | VANCOUVER |
State | WA |
Zip Code | 98661-3753 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932145877 | Kimberly J Kyro-bello | Pharmacist | 1603 E Fourth Plain Blvd, V5-phar, Vancouver, WA 98661-3753 | 2006-06-21 |
1154408409 | Bonny Sue Mccormick | Counselor | 1603 E Fourth Plain Blvd, V3 Satp, Vancouver, WA 98661-3753 | 2006-11-01 |
1710062567 | Robert John Cornett | Social Worker | 1603 E Fourth Plain Blvd, Vancouver, WA 98661-3753 | 2006-10-26 |
1235249145 | Rima Huda Jallad | Internal Medicine | 1603 E Fourth Plain Blvd, Vancouver, WA 98661-3753 | 2006-08-30 |
1649289109 | Susan C. Holtorf | Dietitian, Registered | 1603 E Fourth Plain Blvd, Vancouver, WA 98661-3753 | 2006-08-05 |
1205863446 | Lynnette Rae Klaus | Pharmacist | 1603 E Fourth Plain Blvd, Vancouver, WA 98661-3753 | 2006-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
Find all providers in zip 98661 |
Taxonomy Code | 136A00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietetic Technician, Registered |
A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
Notes: Source: The American Dietetic Association. Becoming a Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821609678 | Matthew Glen Koontz | Dietetic Technician, Registered | 507 Ne Northgate Way Apt 139, Seattle, WA 98125-6185 | 2020-08-14 |
1740890177 | Karen Mclellan | Dietetic Technician, Registered | 9556 Sand Point Way Ne Apt 1, Seattle, WA 98115-2652 | 2020-07-31 |
1053950519 | Krishna Shah | Dietetic Technician, Registered | 136 102nd Ave Se Apt 405, Bellevue, WA 98004-8144 | 2020-01-02 |
1295193084 | Leila Davis | Dietetic Technician, Registered | 17806 80th Ave Ne, Kenmore, WA 98028-1806 | 2016-02-08 |
1831560218 | Ashton Daniel | Dietetic Technician, Registered | 1700 Westlake Ave N, 700, Seattle, WA 98109-3012 | 2015-10-12 |
1881083988 | Mary Clare Kelley | Dietetic Technician, Registered | 6001 N Mayfair St, Spokane, WA 99208-1129 | 2015-01-13 |
1053513341 | Melissa Ann Everson | Dietetic Technician, Registered | 360 Nw North St, Chehalis, WA 98532-1925 | 2007-05-31 |
1114981016 | Marie B Hubbard | Dietetic Technician, Registered | Madigan Army Medical Center, Medical Nutrition Therapy Branch, Ft Lewis, WA 98433 | 2006-04-17 |
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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.