BRANDIE A SMITH (NPI# 1568976413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568976413 |
Entity Type | Individual |
Full Name | BRANDIE A SMITH |
Credential | FNP |
Practice Address |
19115 Florida Ave. Suite A Albany LA 70711 |
Mailing Address |
241 Thornwood Dr Covington LA 70435-0285 |
Practice Telephone | 2255677150 |
Practice Fax Number | 2255677120 |
Mailing Telephone | 5042340627 |
Enumeration Date | 2017-11-29 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 452815734 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | ALL CLAIMS | 208D00000X | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
42570 S Airport Rd, Hammond, LA 704030946 | 9855106100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972161388 | Brandie Smith | Audiologist | 1430 66th St N, St Petersburg, FL 33710-5504 | 2019-05-31 |
Street Address |
19115 FLORIDA AVE. SUITE A |
City | ALBANY |
State | LA |
Zip Code | 70711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932716487 | Ashley Durbin Wells | Speech-Language Pathologist | 29777 Veterans Hwy, Albany, LA 70711 | 2020-09-29 |
1861002420 | Julie A Purvis | Registered Nurse | Albany Middle, 29675 Reeves, Albany, LA 70711 | 2020-08-07 |
1528677762 | Sharmon P Thompson | Registered Nurse | 29777 South Montpelier Road, Albany, LA 70711 | 2020-07-23 |
1578987244 | Albany Chiropractic LLC | Chiropractor | 28470 La Hwy 43 Suite B, Albany, LA 70711 | 2014-02-14 |
1932418043 | John Henry Smith | Pharmacist | 29644 South Montpelier Ave, Albany, LA 70711 | 2010-10-07 |
1578880829 | Wanda Lynn Grant | Counselor | 28972 Hwy 43, Albany, LA 70711 | 2010-04-27 |
1912178294 | Johns Pharmacy In Albany LLC | Pharmacy | 29148 South Montpelier Ave, Albany, LA 70711 | 2008-03-14 |
1801070065 | North Lake Supports & Services Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30199 Julia Street, Albany, LA 70711 | 2007-12-24 |
1366553604 | Randell P. Mayer, Dds, Apdc | Dentist | 29906 S Montpelier, Albany, LA 70711 | 2006-08-31 |
1982704219 | St Michael Hospice, LLC | Hospice Care, Community Based | 19342 Florida Blvd., Albany, LA 70711-0000 | 2006-09-25 |
Find all providers in zip 70711 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1750743092 | Jessica Barenboim | General Practice | 47 New Scotland Ave, Department of Anesthesiology, Albany, NY 12208-3412 | 2016-03-25 |
1689059123 | Albany Medical College | General Practice | 1365 Washington Ave, Suite 200, Albany, NY 12206-1068 | 2015-07-27 |
1235532284 | Fasttrack Immediate Care of Albany | General Practice | 2822 Nottingham Way, Albany, GA 31707-7629 | 2014-10-06 |
Find all providers in ALBANY |
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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.