MRS. CAROL LYNN SMITH


Address: 1603 E Fourth Plain Blvd, Vancouver, WA 98661-3753
Phone: 3606964061

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 136A00000X Dietetic Technician, Registered Dietary & Nutritional Service Providers

Other Providers CAROL SMITH

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

Office Location

Street Address 1603 E FOURTH PLAIN BLVD
City VANCOUVER
State WA
Zip Code 98661-3753

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 136A00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietetic Technician, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and state

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

Competitor

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City VANCOUVER
Zip Code 98661

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Dataset Information

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.

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