KERRY LYNN SMITH (NPI# 1629326251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629326251 |
| Entity Type | Individual |
| Full Name | KERRY LYNN SMITH |
| Practice Address |
2330 W 10th St Odessa TX 79763-3782 |
| Mailing Address |
5406 Rio Grande Ave Midland TX 79707-9718 |
| Practice Telephone | 4323399849 |
| Mailing Telephone | 4322306747 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
592372 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043711039 | Kerry Lynn Smith | Social Worker | 251 Main St Ste 101, Old Saybrook, CT 06475-2357 | 2018-02-24 |
| 1497998033 | Kerry David Smith | Dentist | 16319 Fishhawk Blvd, Lithia, FL 33547-3932 | 2009-04-13 |
| 1407322191 | Kerry Smith | Physical Therapist | 9425 Mission Rd, Leawood, KS 66206-2045 | 2018-10-19 |
| 1588147532 | Kerry Smith | Behavior Technician | 21505 N 78th Ave Ste 125, Peoria, AZ 85382-3356 | 2018-09-14 |
| 1275083230 | Kerry Smith | Counselor | 319 Beech St, Holyoke, MA 01040-3968 | 2016-10-13 |
| 1487066304 | Kerry Smith | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2014-05-27 |
| 1194991141 | Kerry Hamilton Smith | Internal Medicine | 1600 University Dr E, College Station, TX 77840-2642 | 2008-04-30 |
| 1538333067 | Kerry Howard Smith | Physical Therapist | 2265 Parr Ave, Dyersburg, TN 38024-2078 | 2008-04-16 |
| 1386821858 | Kerry Firmin Smith | Physical Therapist | 626 N Tyndall Pkwy, Callaway, FL 32404-6132 | 2008-01-28 |
| 1760557789 | Kerry E Smith | Psychologist | 55 E Washington St, Suite 733, Chicago, IL 60602-2103 | 2006-11-22 |
| Street Address |
2330 W 10TH ST |
| City | ODESSA |
| State | TX |
| Zip Code | 79763-3782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972868974 | Carehere LLC | Family Medicine | 2330 W 10th St, Odessa, TX 79763-3782 | 2012-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164885 | Mary Ewusie | Pharmacist | 2450 West Loop 3378, Odessa, TX 79763 | 2020-11-03 |
| 1982231569 | Yashica Patel | Student in an Organized Health Care Education/Training Program | 701 W. 5th St, Suite 1229, Odessa, TX 79763 | 2020-03-24 |
| 1144740457 | Devi Priya Suravajjala | Student in an Organized Health Care Education/Training Program | 701,w 5th Street, Odessa, TX 79763 | 2017-06-27 |
| 1649640392 | Elesea Celeste Villegas | Physician Assistant | 701 West 5th Street, Odessa, TX 79763 | 2015-10-06 |
| 1790046472 | Kathryn Nichole Hutton | Obstetrics & Gynecology | 701 W 5th Street, Odessa, TX 79763 | 2012-05-30 |
| 1962761791 | Marvin Ryan Harvey | Family Medicine | 701 W 5th St Ste 3174, Odessa, TX 79763 | 2012-05-14 |
| 1245529544 | Yvette Garcia | Counselor | 1012 W Macarthur, Odessa, TX 79763 | 2011-04-07 |
| 1386973873 | Patty Denise Pena | Pharmacist | 1305 W County Rd, Odessa, TX 79763 | 2009-12-14 |
| 1508002262 | Javier E Espinoza | Physician Assistant | 1220 W. University, Odessa, TX 79763 | 2008-12-31 |
| 1952584690 | J A Mayans Md Pa | Ophthalmology | 907 W Second St, Odessa, TX 79763 | 2007-12-17 |
| Find all providers in zip 79763 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776115 | Taylor Marie Russell | Nurse Practitioner | 15217 Wind Whisper Dr, Odessa, FL 33556-1832 | 2020-10-07 |
| 1992310551 | Taylor Barnes | Nurse Practitioner | 5919 Fitzgerald Rd, Odessa, FL 33556-2355 | 2020-09-10 |
| 1558995753 | Mission Health, Pllc | Nurse Practitioner | 3112 San Saba Dr, Odessa, TX 79765-5058 | 2020-02-26 |
| 1710549084 | Alyce Greenwood | Nurse Practitioner | 16501 Harper Pond Ln Apt 301, Odessa, FL 33556-6101 | 2019-07-08 |
| 1073170411 | Trudian Alicia Lester | Nurse Practitioner | 8050 E Highway 191 Ste 104, Odessa, TX 79765-8614 | 2019-05-21 |
| 1043773153 | Janette Garcia | Nurse Practitioner | 420 E 6th St Ste 201b, Odessa, TX 79761-4572 | 2019-04-08 |
| 1073074258 | Courtney Clubb | Nurse Practitioner | 410 N Hancock Ave # 4, Odessa, TX 79761-5140 | 2019-03-28 |
| 1891256434 | Joann Mercedes Georges Guillory | Nurse Practitioner | 56 Berkshire Cir, Odessa, TX 79765-2218 | 2019-03-27 |
| 1689138521 | Jacqueline Alcantara | Nurse Practitioner | 15103 Virginia Sta Apt 214, Odessa, FL 33556-3579 | 2019-01-24 |
| 1841767597 | Michael Ebrada | Nurse Practitioner | 16400 Rollingbrook Dr, Odessa, FL 33556-4907 | 2018-10-31 |
| Find all providers in ODESSA | ||||
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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.