MRS. SUE M SMITH (NPI# 1609816446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609816446 |
| Entity Type | Individual |
| Full Name | MRS. SUE M SMITH |
| Credential | M.S.R.N.C.,CNS |
| Practice Address |
8402 Blackjack Road Ext Mount Vernon OH 43050-9193 |
| Mailing Address |
Po Box 4670 Newark OH 43058-4670 |
| Practice Telephone | 7403970442 |
| Practice Fax Number | 7407883424 |
| Mailing Telephone | 7405228477 |
| Mailing Fax Number | 7407883424 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2011-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN-191200 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760993463 | Sue Smith | Registered Nurse | 200 W Arbor Dr., #8501, San Diego, CA 92103-8501 | 2017-10-20 |
| 1457790834 | Sue Kobus Smith | Psychologist | 1500 Chadford Rd, Irmo, SC 29063-2038 | 2013-06-19 |
| 1710220165 | Sue Daniels Smith | Developmental Therapist | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2013-04-04 |
| 1679696371 | Sue Folk Smith | Psychologist | 131 N El Molino Ave, Suite 220, Pasadena, CA 91101-1873 | 2007-04-09 |
| 1932243755 | Sue Smith | Registered Nurse | 906 Lakeview Ave, Milford, DE 19963-1732 | 2007-02-16 |
| 1659389112 | Sue Ann Smith | Pediatrics | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2006-08-03 |
| Street Address |
8402 BLACKJACK ROAD EXT |
| City | MOUNT VERNON |
| State | OH |
| Zip Code | 43050-9193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598723728 | Moundbuilders Guidance Center, Inc. | Clinic/Center | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2006-05-04 |
| 1508314626 | Hayla Clark | Social Worker | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2016-09-18 |
| 1730532516 | Laura L Statler | Counselor | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2016-07-18 |
| 1598124091 | Tami Mills | Social Worker | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2016-02-12 |
| 1851764575 | Jessica Lynn Pigg I | Social Worker | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2015-11-03 |
| 1538551486 | Tracie M Cordle | Social Worker | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2015-03-02 |
| 1679971923 | Jessica Massa | Social Worker | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2014-12-18 |
| 1730587692 | Leann Eshelman | Social Worker | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2014-12-09 |
| 1467858142 | Dustin Gregory | Counselor | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2014-11-07 |
| 1285044834 | Tammy M Walters | Social Worker | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2014-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043739972 | Roxanne Renee Berry | Case Manager/Care Coordinator | Bhp 8402 Blackjack Rd, Mt Vernon, OH 43050 | 2017-09-12 |
| 1477079309 | Blaine Elizabeth Barr | Case Manager/Care Coordinator | 510 Mitchell Avenue, Mount Vernon, OH 43050 | 2017-08-22 |
| 1205351004 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 1330 Coshocton Ave., Mount Vernon, OH 43050 | 2017-08-14 |
| 1568998722 | Jami Passwaters | Case Manager/Care Coordinator | 8402 Blackjack Road, Mount Vernon, OH 43050 | 2017-05-10 |
| 1962892661 | Mount Vernon Nh LLC | Assisted Living Facility | 1135 East Gambier Street, Mount Vernon, OH 43050 | 2015-02-02 |
| 1881009017 | Pamela Robinson | Licensed Practical Nurse | 10263 Tucker Road, Mount Vernon, OH 43050 | 2014-06-26 |
| 1356756837 | Charla Sue Johnson | Licensed Practical Nurse | 228 Delano Street, Mt Vernon, OH 43050 | 2014-06-24 |
| 1588076236 | Erica Ferrell | Licensed Practical Nurse | 701 West Burgess Street, Mount Vernon, OH 43050 | 2014-05-29 |
| 1386085637 | Genesis Rehab Services | Assisted Living Facility | 6918 Wigton Road, Mount Vernon, OH 43050 | 2013-07-16 |
| 1427310473 | Jonathan Titus Hardin | Family Medicine | 1330 Coschocton Road, Mount Vernon, OH 43050 | 2012-06-14 |
| Find all providers in zip 43050 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023529369 | B.t.m. Psychiatric Np Services, Pllc | Nurse Practitioner | 11 W Prospect Ave, 3rd Fl, Suite #5b, Mount Vernon, NY 10550 | 2017-10-13 |
| 1366700825 | Angela D. Franke | Nurse Practitioner | 301 Valley Mall Way # 10, Mount Vernon, WA 98273-5462 | 2012-05-02 |
| 1972723906 | Margaret M Ackerman | Nurse Practitioner | 301 Valley Mall Way Ste 110, Mount Vernon, WA 98273-5462 | 2007-05-01 |
| 1326093493 | Sandra Tate | Nurse Practitioner | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2006-05-24 |
| 1134745441 | Taylor Miller | Nurse Practitioner | 8402 Blackjack Rd, Mount Vernon, OH 43050-9193 | 2020-06-23 |
| 1639655293 | Tri-star Behavioral Health Inc | Nurse Practitioner | 11 W Prospect Ave Fl 3, Mount Vernon, NY 10550 | 2018-07-17 |
| 1457856825 | Winsley Calip-yero | Nurse Practitioner | 11 W Prospect Ave Fl 4, Mount Vernon, NY 10550-2017 | 2018-03-28 |
| 1811249857 | Mary Cathleen Lightwine | Nurse Practitioner | 600 N Main St, Mount Vernon, MO 65712-1004 | 2012-10-14 |
| 1033347422 | Bywater Medical Consultants Pllc | Nurse Practitioner | 1911 E Division St, Mount Vernon, WA 98274-6703 | 2009-06-24 |
| 1205090313 | Alison Nicole Lorenz Forbes | Nurse Practitioner | 1010 E College Way, Mount Vernon, WA 98273-5624 | 2008-07-17 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 43050 |
Please comment or provide details below to improve the information on MRS. SUE M 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.