TRISTYN CHEYNE SMOLARCZYK (NPI# 1639628837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639628837 |
| Entity Type | Individual |
| Full Name | TRISTYN CHEYNE SMOLARCZYK |
| Practice Address |
742 W 3rd St Madison IN 47250-3117 |
| Practice Telephone | 8125710392 |
| Mailing Telephone | 8125710392 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
742 W 3RD ST |
| City | MADISON |
| State | IN |
| Zip Code | 47250-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1801314455 | Physicians Medical Center LLC | Nurse Practitioner | 311 E Clifty Drive, Madison, IN 47250 | 2017-09-05 |
| 1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
| 1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
| 1568761575 | Linda Wehner D.m.d. LLC | Dentist | 1105 Clifty Drive, Madison, IN 47250 | 2011-03-17 |
| 1205142221 | Mary-caroline Peddie | Registered Nurse | 2003 Hycliff Ct, Madison, IN 47250 | 2010-08-27 |
| 1235376625 | Brian Edward Armbrecht | Pharmacist | One King's Daughters' Dr, Madison, IN 47250 | 2009-01-07 |
| 1902092661 | Assisted Living Concepts Inc | Assisted Living Facility | 607 Virginia Avenue, Madison, IN 47250 | 2007-09-17 |
| 1831218262 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3004 Kentucky Ave, Madison, IN 47250 | 2007-03-28 |
| 1396877205 | Quinco Consulting Center Inc | Clinic/Center | 3100 N Bevcher Drive, Madison, IN 47250 | 2007-03-09 |
| Find all providers in zip 47250 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204442 | Stephanie Copeland | Student in an Organized Health Care Education/Training Program | 2508 Castor Ln, Madison, IN 47250-2496 | 2020-10-26 |
| 1275130213 | Najla Ba Sharahil | Student in an Organized Health Care Education/Training Program | 600 Highland Avenue University of Wisconsin Hospitals A, Office H4/466, Madison, WI 53792-4108 | 2020-10-02 |
| 1992319321 | Caraline Putnam Walker | Student in an Organized Health Care Education/Training Program | 186 Forest Lake Dr, Madison, MS 39110-9428 | 2020-09-02 |
| 1902416969 | Cynthia Iradukunda | Student in an Organized Health Care Education/Training Program | University of Wisconsin School of Medicine and Public H, 600 Highland Ave, B6/319, Madison, WI 53792 | 2020-08-05 |
| 1215551932 | Kirsten Mccullough | Student in an Organized Health Care Education/Training Program | Uw Health University Hospital 600 Highland Ave, Madison, WI 53792-0001 | 2020-05-29 |
| 1467073783 | David Pontes | Student in an Organized Health Care Education/Training Program | 4906 Odana Rd, Madison, WI 53711-1337 | 2020-04-27 |
| 1154941672 | Olawale Temitope Oduru | Student in an Organized Health Care Education/Training Program | 600 Highland Ave. Uw Hospitals & Clinics, Madison, WI 53792-0001 | 2020-04-24 |
| 1730708298 | Raha Amini | Student in an Organized Health Care Education/Training Program | 470 Fairfield Dr, Madison, MS 39110-7543 | 2020-04-14 |
| 1306465026 | Allison Blumenfeld | Student in an Organized Health Care Education/Training Program | Uw Hospital & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-13 |
| 1205465291 | Jennifer A Mirrielees | Student in an Organized Health Care Education/Training Program | Uw Hospital 600 Highland Avenue, Madison, WI 53792-0001 | 2020-04-02 |
| Find all providers in MADISON | ||||
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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.