TANYA ELAINE SMITH (NPI# 1629583752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629583752 |
| Entity Type | Individual |
| Full Name | TANYA ELAINE SMITH |
| Credential | AGANCP-BC |
| Practice Address |
3269 N Stockton Hill Rd Kingman AZ 86409-3619 |
| Practice Telephone | 9287572102 |
| Mailing Telephone | 9287572101 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP10770 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538681135 | Tanya Evette Smith | Counselor | 1420 Mason Ave Ste 110, Daytona Beach, FL 32117-5507 | 2017-07-14 |
| 1568982817 | Tanya Smith | Lactation Consultant, Non-RN | 6385 Walnut Cv, Benton, AR 72019-1511 | 2017-06-27 |
| 1285062281 | Tanya Y Smith | Licensed Practical Nurse | 4822 Crosscreek Dr, Columbus, OH 43232-6190 | 2013-10-29 |
| 1720237084 | Tanya L Smith | Dietitian, Registered | 503 Woods Manor Dr, Freeburg, IL 62243-4073 | 2008-09-11 |
| 1093840134 | Tanya Marie Smith | Counselor | 2085 Central Ave, Highland, CA 92346-2486 | 2007-02-22 |
| 1518593284 | Tanya Marie Smith | Counselor | 1555 Parkmoor Ave, San Jose, CA 95128-2407 | 2020-03-13 |
| 1952959280 | Tanya Smith | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2019-08-29 |
| 1659935724 | Tanya Smith | Case Manager/Care Coordinator | 3175 E Tremont Ave, Bronx, NY 10461-5700 | 2019-04-24 |
| 1780154963 | Tanya Smith | Occupational Therapy Assistant | 25018 Oakhurst Dr, Spring, TX 77386-2722 | 2018-11-29 |
| 1184116824 | Tanya Lynn Smith | Nurse Practitioner | 500 W Thomas Rd Ste 230, Phoenix, AZ 85013 | 2018-05-30 |
| Street Address |
3269 N STOCKTON HILL RD |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073510673 | Attiya Salim | Anesthesiology | 3269 N Stockton Hill Rd, Kingman, AZ 86401-3619 | 2005-06-28 |
| 1942809264 | Brittney Migliozzi | Pharmacist | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2020-10-19 |
| 1508489451 | Clarke Snodgrass | Student in an Organized Health Care Education/Training Program | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2020-05-27 |
| 1275155848 | Richard Hernandez | Technician/Technologist | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2020-05-17 |
| 1851920060 | Daniela Nicole La Delfa | Student in an Organized Health Care Education/Training Program | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2020-04-08 |
| 1992332647 | Dawn Beth Bowling | Student in an Organized Health Care Education/Training Program | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2020-03-24 |
| 1518594274 | John Joseph Scudiero | Student in an Organized Health Care Education/Training Program | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2020-03-24 |
| 1730715731 | Sarah Marie Zito | Student in an Organized Health Care Education/Training Program | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2020-03-21 |
| 1710526801 | Thomas Dee Bress | Counselor | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2020-01-06 |
| 1922645696 | Jennifer Ann Shade | Nurse Practitioner | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2019-12-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| Find all providers in zip 86409 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427401652 | Omar Jerico Gabriel | Nurse Practitioner | 3204 Kiersten Ln, Kingman, AZ 86401-0609 | 2016-07-23 |
| 1609236967 | Lori Lynn Schott | Nurse Practitioner | 3555 Western Ave, Kingman, AZ 86409-3011 | 2016-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841848 | Jan-michael B Corella | Nurse Practitioner | 6749 E Lewis Ave, Scottsdale, AZ 85257-2008 | 2020-11-03 |
| 1841890969 | Kristen Cox | Nurse Practitioner | 35714 N 34th Ln, Phoenix, AZ 85086-2264 | 2020-10-28 |
| 1326645250 | Nalini Thangaraju | Nurse Practitioner | 4426 E Yellowstone Pl, Chandler, AZ 85249-0512 | 2020-10-04 |
| 1760097570 | Justin Thomas Partlow | Nurse Practitioner | 3124 E Bloomfield Rd, Phoenix, AZ 85032-7109 | 2020-09-09 |
| 1083226989 | Hillary Lamar | Nurse Practitioner | 3500 N Sabino Canyon Rd Unit 59, Tucson, AZ 85750-6141 | 2020-08-21 |
| 1336759976 | Lindsey Renee Reed | Nurse Practitioner | 1581 S 6th Ave, Yuma, AZ 85364-4684 | 2020-08-07 |
| 1841800828 | Karen Eckhert Patruno | Nurse Practitioner | 6177 E Karen Dr, Scottsdale, AZ 85254-2526 | 2020-08-05 |
| 1295352334 | Adrian Emil Stamp | Nurse Practitioner | 12641 N 19th St, Phoenix, AZ 85022-5735 | 2020-07-04 |
| 1093332082 | Marissa Katherine Chase | Nurse Practitioner | 340 E Palm Ln # A175, Phoenix, AZ 85004-4603 | 2020-06-25 |
| 1356967020 | Shay Linn Davis | Nurse Practitioner | 345 W Mount Elden Lookout Rd, Flagstaff, AZ 86001-3801 | 2020-06-18 |
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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.