STACIE RENEE SMITH (NPI# 1619128360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619128360 |
| Entity Type | Individual |
| Full Name | STACIE RENEE SMITH |
| Credential | PA |
| Practice Address |
47 Hwy 64 W Beebe AR 72012-9500 |
| Practice Telephone | 5018823388 |
| Practice Fax Number | 5018823300 |
| Mailing Telephone | 5018823388 |
| Mailing Fax Number | 5018823300 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2014-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-359 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336779602 | Stacie June Marie Smith | Developmental Therapist | 3046 N Kenmore Ave, Chicago, IL 60657-9094 | 2020-01-24 |
| 1295386779 | Stacie Miriam Smith | Technician | 3 Woewassa Ln, Farmington, CT 06032-1038 | 2019-09-25 |
| 1821581158 | Stacie Jean Smith | Nurse Practitioner | 12100 Kain Rd, Glen Allen, VA 23059-5717 | 2018-06-12 |
| 1477981629 | Stacie Anne Smith | Social Worker | 1129 Airport Rd, Milford, DE 19963-6418 | 2013-10-25 |
| 1487801809 | Stacie Felicia Smith | Counselor | 119 N Mcdonough St, Decatur, GA 30030-3300 | 2008-08-27 |
| 1043330111 | Stacie Cunningham Smith | Speech-Language Pathologist | 2469 Woodfield Circle, Lexington, KY 40515 | 2007-03-30 |
| 1437129699 | Stacie Smith | Speech-Language Pathologist | 1403 Autumnmist Dr, Allen, TX 75002-4970 | 2006-01-23 |
| 1083244107 | Stacie Smith | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-01-16 |
| 1174034755 | Stacie Smith | Massage Therapist | 10950 Farmington Rd, Livonia, MI 48150-2753 | 2017-10-23 |
| 1639605603 | Stacie Lynn Smith | Pharmacist | 43418 State Highway 74, Hemet, CA 92544-5219 | 2017-05-11 |
| Street Address |
47 HWY 64 W |
| City | BEEBE |
| State | AR |
| Zip Code | 72012-9500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881234722 | Danielle Shock | Speech-Language Pathologist | Wilbur Mills Coop, 114 N Main, Beebe, AR 72012 | 2020-01-08 |
| 1356982946 | Rachel Lynn Martin | Technician | 120 Friendship Ln, Beebe, AR 72012 | 2019-10-04 |
| 1992758387 | Charles Edward Pillow | Physician Assistant | 710-a Dewitt Henry Drive, Beebe, AR 72012 | 2006-05-18 |
| 1710935762 | Dewey Mcafee | Family Medicine | 710 A Dewitt Henry Drive, Beebe, AR 72012 | 2006-05-04 |
| 1295708428 | Johnny Ross Paine | Family Medicine | 710 A Dewitt-henry Drive, Beebe, AR 72012 | 2006-02-08 |
| 1710973086 | Beebe Retirement Center, Inc. | Skilled Nursing Facility | 709 Mcafee Dr, Beebe, AR 72012 | 2005-09-22 |
| 1477051654 | Life Within Counseling Group, LLC | Counselor | 905 Mcafee Medical Circle, Beebe, AR 72012 | 2018-01-23 |
| 1588109698 | Riley Benjumen Pate | Counselor | 905 Mcafee Medical Circle, Beebe, AR 72012 | 2016-12-28 |
| 1205185204 | Lauren Ashley Farris | Occupational Therapist | 27 Hwy 64 W, Beebe, AR 72012 | 2012-09-05 |
| 1831121037 | Dewey R Mcafee Do Pa | Family Medicine | 710-a Dewitt Henry Drive, Beebe, AR 72012 | 2006-07-07 |
| Find all providers in zip 72012 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992758387 | Charles Edward Pillow | Physician Assistant | 710-a Dewitt Henry Drive, Beebe, AR 72012 | 2006-05-18 |
| 1639446271 | Mendy Cooper Mcclelland | Physician Assistant | 47 Highway 64 W, Beebe, AR 72012-9500 | 2011-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093271082 | Megan Breanna Albers | Physician Assistant | 100 Broadhurst St, Siloam Springs, AR 72761-4081 | 2019-02-14 |
| 1982115218 | Tabitha Jaggers | Physician Assistant | 1000 Hwy 35 N Ste 8, Benton, AR 72019-2353 | 2017-10-13 |
| 1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
| 1700281938 | Carol J Trana | Physician Assistant | 4301 West Markham St, #748, Little Rock, AR 72205-7199 | 2014-10-30 |
| 1790011005 | Cassandra Lynn Ganus | Physician Assistant | 205 E Race Ave, Searcy, AR 72143-4329 | 2009-10-20 |
| 1699008672 | Robin Lynn Isaacks | Physician Assistant | 821 East Park Street, Highway 70, Carlisle, AR 72024 | 2009-09-09 |
| 1194966374 | Daniel Shane Briley | Physician Assistant | 2125 E Main St Ste 10, Siloam Springs, AR 72761-5576 | 2009-03-17 |
| 1861669541 | Gregory D Mills | Physician Assistant | 300 East Main, Swifton, AR 72471-0000 | 2008-05-13 |
| 1194990366 | Michelle Lee Manthe | Physician Assistant | 1615 W Persimmon St Ste B, Rogers, AR 72756-3383 | 2008-04-28 |
| 1558561431 | Jayme Mayo | Physician Assistant | 612 Garland St, Conway, AR 72032-4418 | 2007-07-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STACIE RENEE 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.