MR. TOMARIS SMITH (NPI# 1588274559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588274559 |
Entity Type | Individual |
Full Name | MR. TOMARIS SMITH |
Credential | NP-C |
Practice Address |
128 Lakeside Ave Ste 260 Burlington VT 05401-5911 |
Mailing Address |
128 Lakeside Ave # 206 Burlington VT 05401-4939 |
Practice Telephone | 8026577000 |
Mailing Telephone | 0826577000 |
Enumeration Date | 2020-08-05 |
Last Update Date | 2020-08-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024179820 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
128 LAKESIDE AVE STE 260 |
City | BURLINGTON |
State | VT |
Zip Code | 05401-5911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487173860 | Kameron Escajeda | Nurse Practitioner | 128 Lakeside Ave Ste 260, Burlington, VT 05401-5911 | 2017-09-16 |
1881240570 | Nancy Ann Choate Kelly | Nurse Practitioner | 128 Lakeside Ave Ste 260, Burlington, VT 05401-5911 | 2019-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
Find all providers in zip 05401 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558988782 | Oshiokwueme Osilama | Nurse Practitioner | 11 Algonquin Dr, Burlington, MA 01803-3630 | 2020-07-03 |
1861053993 | Anjani Kumar Agarwala | Nurse Practitioner | 260 Winn St Apt B, Burlington, MA 01803-2636 | 2019-06-28 |
1720549637 | Sheri Soucy | Nurse Practitioner | 41 Mall Road 5 E Cardiology, Burlington, MA 01805-0001 | 2019-03-26 |
1225585573 | Kathleen Marie Ferrara | Nurse Practitioner | Walgreens Healthcare Clinic, 1747 Patrick Drive, Burlington, KY 41005 | 2016-09-03 |
1134525645 | Amy R Aeschliman | Nurse Practitioner | 425 E. 5th Street, Suite B, Burlington, IN 46915-1758 | 2014-11-10 |
1669888335 | Heide Wakefield-thorne | Nurse Practitioner | 37007 65th Ct, Burlington, WI 53105-8554 | 2014-07-02 |
1730518549 | Kelly Brush Davisson | Nurse Practitioner | 128 Lakeside Ave Ste 115, Burlington, VT 05401 | 2013-11-02 |
1083806939 | Mary Katherine Mcneice | Nurse Practitioner | Lahey Clinic Medical Center - Medical Oncology, 41 Mall Rd, Burlington, MA 01805-0001 | 2007-08-14 |
1033317557 | Susan Marie Dorman | Nurse Practitioner | 291 15th St, Burlington, CO 80807-1619 | 2007-07-05 |
1467650184 | Hart Healthcare, Pllc | Nurse Practitioner | 4467 Hackberry Ct, Burlington, KY 41005-6904 | 2007-07-03 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 05401 |
Please comment or provide details below to improve the information on MR. TOMARIS SMITH.
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.