AUTUMN SMITH (NPI# 1588223754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588223754 |
| Entity Type | Individual |
| Full Name | AUTUMN SMITH |
| Practice Address |
175 Webster Square Rd Berlin CT 06037-2328 |
| Mailing Address |
1419 Bigelow Cmns Enfield CT 06082-3349 |
| Practice Telephone | 8604203660 |
| Mailing Telephone | 6097120449 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4474 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274710 | Autumn Fladmo Smith | Nutritionist | 4933 Juneberry Ct, San Diego, CA 92123-6434 | 2017-02-16 |
| 1164960118 | Autumn Smith | Licensed Practical Nurse | 3727 W Main Street Rd, Apt A6, Batavia, NY 14020-9408 | 2017-02-09 |
| 1649658436 | Autumn Elaine Smith | Physical Therapy Assistant | 2000 Highway 25b Ste A1, Heber Springs, AR 72543-6418 | 2015-05-12 |
| 1952702649 | Autumn Smith | Counselor | 727 Smokey Wood Dr, Swissvale, PA 15218-2734 | 2014-09-12 |
| 1124451877 | Autumn Elizabeth Smith | Speech-Language Pathologist | 2500 W Bradley Pl Ste 109, Chicago, IL 60618-4716 | 2013-08-16 |
| 1285233643 | Autumn Hope Smith | Internal Medicine | 1000 South Ave, Rochester, NY 14620-2733 | 2020-10-18 |
| 1821644626 | Autumn B Smith | Physical Therapist | 2690 Madison St Ste 120, Clarksville, TN 37043-5984 | 2019-08-16 |
| 1043787971 | Autumn Lee Smith | Developmental Therapist | 9909 E 100 S, Greentown, IN 46936-9163 | 2018-10-29 |
| 1003349879 | Autumn Rae Smith | Obstetrics & Gynecology | 1657 Trinity Dr, Pensacola, FL 32504-5708 | 2017-04-07 |
| 1922559178 | Autumn Smith | Nurse Practitioner | 1266 Liberty St, Franklin, PA 16323-1322 | 2016-10-21 |
| Street Address |
175 WEBSTER SQUARE RD |
| City | BERLIN |
| State | CT |
| Zip Code | 06037-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280121 | Jennifer M Wilcox | Nurse Practitioner | 175 Webster Square Rd, Berlin, CT 06037-2328 | 2019-11-26 |
| 1336792720 | Urgent Care of Berlin, LLC | Clinic/Center | 175 Webster Square Rd, Berlin, CT 06037-2328 | 2019-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417517418 | Arthur E Roy | Specialist/Technologist | 95 Winchell Dr, Kensington, CT 06037 | 2019-06-20 |
| 1811483498 | Michelle E Lipka | Dietitian, Registered | Pronatural Physicians, 120 Webster Square Rd, Berlin, CT 06037 | 2018-07-06 |
| 1659810539 | Allison Arel Jerolmon | Behavioral Analyst | 68 Hart Street, Berlin, CT 06037 | 2017-02-13 |
| 1851738280 | Michelle Amenta | Speech-Language Pathologist | 95 S Ridge Ln, Berlin, CT 06037 | 2013-05-24 |
| 1881939452 | Martin Dacunha | Social Worker | 38 Smith St, Bldg 804, Niantic, CT 06037 | 2012-12-07 |
| 1194083667 | Stanley Peter Filewicz Jr. | Orthopaedic Surgery | 1224 Farmington Ave., Unit A, Berlin, CT 06037 | 2012-05-02 |
| 1710269519 | Marie Wallace | Speech-Language Pathologist | 077 Worthington Point Road, Berlin, CT 06037 | 2011-09-16 |
| 1164730032 | Bozena Maria Padykula | Nurse Practitioner | 87 South Slope Drive, Kensington, CT 06037 | 2010-09-14 |
| 1326288655 | Jill Foley | Acupuncturist | 355 New Britain Rd., Kensington, CT 06037 | 2009-02-26 |
| 1194985457 | Bowers Health Care Facilities Inc | Custodial Care Facility | 316 Berlin Street, Berlin, CT 06037 | 2008-06-11 |
| Find all providers in zip 06037 | ||||
| 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 |
|---|---|---|---|---|
| 1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
| 1346620390 | Berlin Medical Associates | Physician Assistant | 175 Cross Keys Rd Ste 300b, Berlin, NJ 08009-9263 | 2015-06-04 |
| 1376955096 | Joseph Sicard | Physician Assistant | 798 U.S. Route 302, Berlin, VT 05602 | 2014-05-29 |
| 1376984229 | Michael A Puglisi | Physician Assistant | 225 Memorial Dr Ste 1100, Berlin, WI 54923-1243 | 2013-07-08 |
| 1538439278 | Jennifer Lynn Burrows | Physician Assistant | 339 N Route 73 Ste 1, Berlin, NJ 08009-9707 | 2012-01-11 |
| 1679897615 | Rosanna J Woodard | Physician Assistant | 1311 Barre-montpelier Rd, Suite 200, Berlin, VT 05602-9516 | 2010-03-19 |
| 1376878025 | Todd Morgan | Physician Assistant | 1311 Barre- Montpelier Rd, Cvmc Expresscare, Berlin, VT 05602-0000 | 2009-10-14 |
| 1295734069 | Anna M Freeman | Physician Assistant | 11101 Cathage Rd., Berlin, MD 21811 | 2005-07-14 |
| 1710502265 | Stephanie Klika | Physician Assistant | 225 Memorial Dr Ste 2010, Berlin, WI 54923-1243 | 2020-06-10 |
| 1306478649 | Joseph Carroll | Physician Assistant | 339 N Route 73, Berlin, NJ 08009-9707 | 2020-02-05 |
| Find all providers in BERLIN | ||||
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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.