MRS. KRISTEN PAIGE SMITH (NPI# 1588172415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588172415 |
| Entity Type | Individual |
| Full Name | MRS. KRISTEN PAIGE SMITH |
| Credential | PA-C |
| Practice Address |
1717 S Utica Ave Ste A Tulsa OK 74104-5346 |
| Mailing Address |
1717 S Utica Ave Ste A Tulsa OK 74104-5346 |
| Practice Telephone | 9187481300 |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2019-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690961 | Kristen Smith | Speech-Language Pathologist | 5742 Laurel Ridge Dr, Snow Camp, NC 27349-9221 | 2020-05-09 |
| 1750941365 | Kristen Marie Smith | Psychologist | 3125 Independence Dr Ste 114, Birmingham, AL 35209-4163 | 2019-06-17 |
| 1235600123 | Kristen Dunford Smith | Physical Therapist | 8115 Market St Ste 108, Wilmington, NC 28411-8429 | 2018-12-17 |
| 1205304417 | Kristen Smith | Counselor | 2371 Fieldcrest Dr, Rockwall, TX 75032-9219 | 2018-11-06 |
| 1699241935 | Kristen Smith | Physician Assistant | 8310 Sycamore Rd, Millersville, MD 21108-1245 | 2018-10-14 |
| 1851825111 | Kristen Smith | Speech-Language Pathologist | 198 Sandra Cir, Burlington, VT 05408-1033 | 2017-04-13 |
| 1366999005 | Kristen Smith | Behavioral Analyst | 21 Bartlett Pl, Brooklyn, NY 11229-6087 | 2016-09-09 |
| 1396103958 | Kristen Smith | Advanced Practice Midwife | 6488 Weddington Monroe Rd, Wesley Chapel, NC 28104 | 2016-02-10 |
| 1194115089 | Kristen J Smith | Physician Assistant | 2 Penn Blvd Ste 103, Philadelphia, PA 19144-1402 | 2015-01-29 |
| 1235535725 | Kristen Smith | Physical Therapy Assistant | 240 Branchview Drive Nw, Apt 304, Concord, NC 28025 | 2014-11-10 |
| Street Address |
1717 S UTICA AVE STE A |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558359505 | Richard P Holsopple II | Emergency Medicine | 1717 S Utica Ave Ste A, Tulsa, OK 74104-5346 | 2005-10-12 |
| 1396380259 | Kassandra D Delcoure | Registered Nurse | 1717 S Utica Ave Ste A, Tulsa, OK 74104-5342 | 2019-11-14 |
| 1740796606 | Virginia Corcoran | Physician Assistant | 1717 S Utica Ave Ste A, Tulsa, OK 74104 | 2017-12-14 |
| 1366976391 | Adrienne Taren | Emergency Medicine | 1717 S Utica Ave Ste A, Tulsa, OK 74104-5346 | 2017-04-17 |
| 1801331871 | Karen Gwen Smith | Registered Nurse | 1717 S Utica Ave Ste A, Tulsa, OK 74104-5346 | 2016-12-30 |
| 1366822033 | Rebecca Massey | Emergency Medicine | 1717 S Utica Ave Ste A, Tulsa, OK 74104-5346 | 2015-06-08 |
| 1578950671 | Robyn Lovitt | Emergency Medicine | 1717 S Utica Ave Ste A, Tulsa, OK 74104 | 2015-04-16 |
| 1063801660 | John Clay Bowen | Emergency Medicine | 1717 S Utica Ave Ste A, Tulsa, OK 74104-5346 | 2015-01-20 |
| 1386046753 | Ricky Atwood | Nurse Practitioner | 1717 S Utica Ave Ste A, Tulsa, OK 74104-5346 | 2014-09-17 |
| 1477955847 | Andrea Atwood | Nurse Practitioner | 1717 S Utica Ave Ste A, Tulsa, OK 74104-5346 | 2014-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620487 | Taehee Strauss | Physician Assistant | 5229 S Harvard Ave Apt H, Tulsa, OK 74135-3551 | 2019-10-15 |
| 1871134163 | Claire Anne Kifer | Physician Assistant | 155 E 29th Pl, Tulsa, OK 74114-5201 | 2019-10-08 |
| 1033750328 | Jazmine Denise Nicole Manns | Physician Assistant | 9132 E 37th Ct, Tulsa, OK 74145-3415 | 2019-10-08 |
| 1295376523 | Emily Montana Bergeron | Physician Assistant | 1417 W 78th St Apt 1213, Tulsa, OK 74132-4633 | 2019-10-08 |
| 1295376325 | Reagan Hahn | Physician Assistant | 7746 Riverside Pkwy Apt 203, Tulsa, OK 74136-7677 | 2019-09-30 |
| 1881245082 | Miranda Hamilton | Physician Assistant | 3726 E 43rd St, Tulsa, OK 74135-2743 | 2019-09-27 |
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1831740018 | Savannah Payne | Physician Assistant | 7734 Riverside Pkwy Apt 207f, Tulsa, OK 74136-7371 | 2019-09-27 |
| 1366093759 | Garrett Blubaugh | Physician Assistant | 8307 E 60th St Apt 2127, Tulsa, OK 74145-5014 | 2019-09-26 |
| 1649821547 | Madison Snow | Physician Assistant | 7734 Riverside Pkwy # 207, Tulsa, OK 74136-7670 | 2019-09-23 |
| Find all providers in TULSA | ||||
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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.