ANGEL MICHELLE SMITH (NPI# 1619439908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619439908 |
| Entity Type | Individual |
| Full Name | ANGEL MICHELLE SMITH |
| Credential | PMHNP-BC |
| Practice Address |
1113 Cedar Valley Dr Cedar Bluff VA 24609-9190 |
| Mailing Address |
Po Box 426 Cedar Bluff VA 24609-0426 |
| Practice Telephone | 2769630111 |
| Practice Fax Number | 2769630005 |
| Mailing Telephone | 2769630111 |
| Mailing Fax Number | 2769630005 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024179738 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 26 Midway St, Bristol, TN 376201706 | 4239894500 | 4234673644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457830424 | Angel Ladeane Smith | Pharmacist | 1035 Avenue C, Ely, NV 89301-2329 | 2018-08-10 |
| 1174030282 | Angel Yvette Smith | Custodial Care Facility | 1157 Morningview Ave, Akron, OH 44305-4513 | 2018-01-10 |
| 1629448972 | Angel Smith | Licensed Practical Nurse | 5641 Troy Villa Blvd, Huber Heights, OH 45424-2645 | 2015-09-30 |
| 1033758701 | Angel Jean Smith | Counselor | 1354 Jackson Pike, Gallipolis, OH 45631-2601 | 2019-12-30 |
| 1073013744 | Angel Smith | Behavior Technician | 1353 E Main St, Brownsburg, IN 46112-1433 | 2018-02-19 |
| 1023528882 | Angel Smith | Registered Nurse | 700 Park Ave, Ironton, OH 45638-1502 | 2017-10-06 |
| 1902293590 | Angel Smith | Dietitian, Registered | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2015-04-21 |
| 1376932012 | Angel Smith | Occupational Therapy Assistant | 1835 W La Veta Ave, Orange, CA 92868-4132 | 2015-01-19 |
| 1467859470 | Angel Smith | Nurse Practitioner | 1701 Legacy Dr, Ste 2000, Frisco, TX 75034-5987 | 2014-11-20 |
| 1679989933 | Angel Smith | Counselor | 3727 Marconi Ave, Sacramento, CA 95821-5303 | 2014-07-08 |
| Street Address |
1113 CEDAR VALLEY DR |
| City | CEDAR BLUFF |
| State | VA |
| Zip Code | 24609-9190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184762452 | Kelley Nicole Kinder | Counselor | 1113 Cedar Valley Dr, Cedar Bluff, VA 24609-9190 | 2007-02-01 |
| 1760025365 | Cory Tyler Brown | Nurse Practitioner | 1113 Cedar Valley Dr, Cedar Bluff, VA 24609-9190 | 2019-10-26 |
| 1235604174 | Donna Offield | Counselor | 1113 Cedar Valley Dr, Cedar Bluff, VA 24609-9190 | 2018-10-08 |
| 1821574674 | Amanda Ellis-oquinn | Counselor | 1113 Cedar Valley Dr, Cedar Bluff, VA 24609-9190 | 2018-07-16 |
| 1710491907 | Justin Travis Cross | Counselor | 1113 Cedar Valley Dr, Cedar Bluff, VA 24609-9190 | 2017-11-27 |
| 1629447941 | Donna Callis | Social Worker | 1113 Cedar Valley Dr, Cedar Bluff, VA 24609 | 2015-09-16 |
| 1720454846 | Connie Elkins | Counselor | 1113 Cedar Valley Dr, Cedar Bluff, VA 24609-9190 | 2015-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831669498 | Appalachian Agency for Senior Citizens, Inc | Non-emergency Medical Transport (VAN) | 164 College Ridge Road, Cedar Bluff, VA 24609 | 2018-11-27 |
| 1568930568 | Jerry Gray Gilchrist IIi | Private Vehicle | 308 College Estates Rd, Cedar Bluff, VA 24609 | 2018-11-07 |
| 1538575949 | At Home Personal Care | In Home Supportive Care | 2032 Cedar Valley Dr, Suite1, Cedar Bluff, VA 24609 | 2014-07-07 |
| 1124375217 | Billy Chad Mullins | Counselor | 216 College Ridge Rd., Cedar Bluff, VA 24609 | 2012-08-08 |
| 1124329388 | Healing Waters Counseling Center | Social Worker | 1113 Cedar Valley Dr., Cedar Bluff, VA 24609 | 2010-11-04 |
| 1154658854 | Bradley Todd Kinder | Counselor | 1100 Cedar Valley Drive, Suite 3, Cedar Bluff, VA 24609 | 2009-11-17 |
| 1447488796 | Thomas Luke Stillwell | Optometrist | 7831 Mountain Rd, Cedar Bluff, VA 24609 | 2009-06-25 |
| 1467698639 | Family Preservation Services, Inc | Community/Behavioral Health | 1089, Cedar Bluff, VA 24609 | 2008-12-18 |
| 1366614869 | Susan Renee Harris | Nurse Practitioner | 541 Community College Rd, Dickenson Hall, Cedar Bluff, VA 24609 | 2008-03-25 |
| 1841472040 | Roy C Gomez, Md, PC | Clinic/Center | 2308 Cedar Valley Drive, Cedar Bluff, VA 24609 | 2007-11-29 |
| Find all providers in zip 24609 | ||||
| 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 |
|---|---|---|---|---|
| 1578160875 | Tricia Daigle Northington | Nurse Practitioner | 20213 Eagle Cove Ct, South Chesterfield, VA 23803-1097 | 2020-10-08 |
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1699372060 | Shari Chism Medley | Nurse Practitioner | 1088 Bagwell Dr, Scottsburg, VA 24589-2709 | 2020-10-07 |
| 1225635683 | Kevina Boone | Nurse Practitioner | 5360 Discovery Park Blvd Ste 201, Williamsburg, VA 23188-2860 | 2020-10-07 |
| 1548876618 | Jamie Kim | Nurse Practitioner | 3554 Chain Bridge Rd Ste 200, Fairfax, VA 22030-2709 | 2020-09-23 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1679185573 | Shaping Your Future Psychiatry | Nurse Practitioner | 1534 Bateau Lndg, Chesapeake, VA 23321-6603 | 2020-08-20 |
| 1235749714 | Germaine Kelley-pope | Nurse Practitioner | 622 Westover Hills Blvd, Richmond, VA 23225-4521 | 2020-08-09 |
| 1164031779 | Georgina Rose Chidaushe | Nurse Practitioner | 46760 Vermont Maple Ter, Sterling, VA 20164-2234 | 2020-07-29 |
| 1689292575 | Harpreet Kang | Nurse Practitioner | 2925 Calcutt Dr, Midlothian, VA 23113-2682 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR BLUFF |
| Zip Code | 24609 |
Please comment or provide details below to improve the information on ANGEL MICHELLE 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.