MISS AUDREY ETTA SMITH (NPI# 1639653447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639653447 |
| Entity Type | Individual |
| Full Name | MISS AUDREY ETTA SMITH |
| Practice Address |
12311 Ventura Blvd Studio City CA 91604-2509 |
| Mailing Address |
18560 Vanowen St Unit 21 Reseda CA 91335-5307 |
| Practice Telephone | 8187621167 |
| Mailing Telephone | 8186321248 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95010044 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601436 | Audrey Renee Smith | Behavior Technician | 5870 El Camino Real Ste 101, Carlsbad, CA 92008-8816 | 2020-08-25 |
| 1477170082 | Audrey Caroline Smith | Physician Assistant | 1303 N 188th St, Elkhorn, NE 68022-4501 | 2020-06-30 |
| 1861676017 | Audrey Rowell Smith | Psychologist | 5326 Soldiers Home Msbg Rd, Miamisburg, OH 45342-1459 | 2007-12-24 |
| 1710194808 | Audrey Littrell Smith | Counselor | 324 West 3rd St, Cedar Falls Counseling Associates, Cedar Falls, IA 50613-2745 | 2007-05-17 |
| 1316981590 | Audrey Sue Smith | Psychologist | 402 Main Street, Saegertown, PA 16433 | 2006-06-16 |
| 1104803725 | Audrey Lyn Smith | Pharmacist | 6450 Sprint Pkwy, Overland Park, KS 66251-6105 | 2005-12-23 |
| 1073138723 | Audrey Smith | Counselor | 1449 Temple Rd, Bremen, GA 30110-2378 | 2020-06-09 |
| 1285277749 | Audrey Dominique Smith | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2019-10-28 |
| 1760034748 | Audrey Elaine Smith | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2019-07-10 |
| 1184288821 | Audrey Camille Smith | Counselor | 2324 Concord Lake Rd, Concord, NC 28025-2814 | 2019-04-29 |
| Street Address |
12311 VENTURA BLVD |
| City | STUDIO CITY |
| State | CA |
| Zip Code | 91604-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740369867 | Kenya Henderson | Physician Assistant | 12311 Ventura Blvd, Studio City, CA 91604-2509 | 2006-11-02 |
| 1689860165 | Sandeep Kapoor | Internal Medicine | 12311 Ventura Blvd, Studio City, CA 91604-2509 | 2007-09-19 |
| 1609916287 | Sandeep Kapoor, M.d. Inc. | General Acute Care Hospital | 12311 Ventura Blvd, Studio City, CA 91604-2509 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971745 | Natalie M Maddison | Developmental Therapist | 4397 Tujunga Ave, Studio City, CA 91604 | 2019-09-16 |
| 1134774441 | Elizabeth Anne Wells | Social Worker | 4512 St. Clair Ave., Studio City, CA 91604 | 2019-08-04 |
| 1740751262 | Luminita Elena Docan | Counselor | 12456 Laurel Terrace Dr, #1, Studio City, CA 91604 | 2018-12-10 |
| 1568981041 | Lost Sheep, LLC | Substance Abuse Rehabilitation Facility | 4198 Sunswept Drive, Los Angeles, CA 91604 | 2017-09-15 |
| 1376072652 | Ambursd Medical Transportation Inc. | Non-emergency Medical Transport (VAN) | 11012 Ventura Blvd Suite # H, Studio City, CA 91604 | 2017-06-08 |
| 1134502784 | Stephen Earl Genender | Plastic Surgery | 3293 Wrightwood Dr., Studio City, CA 91604 | 2015-07-01 |
| 1306277298 | Dr. Ike, Inc. | Pharmacy | 11738 Ventura Blvd., Studio City, CA 91604 | 2013-12-03 |
| 1770916769 | Jon-paul Gamboa | Behavioral Analyst | 121754 Ventura Blvd., Ste D, Studio City, CA 91604 | 2013-08-14 |
| 1518308568 | Alexis Anne Prescott | Counselor | 11712 Moorpark St Ste 211, Studio City, CA 91604 | 2013-07-07 |
| 1154764157 | Peter Joseph Vogelsang | Internal Medicine | 11623 Dona Alicia Place, Studio City, CA 91604 | 2013-04-10 |
| Find all providers in zip 91604 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738782 | Peninsula Healthcare Center | Nurse Practitioner | 22330 Hawthorne Blvd Ste 208, Torrance, CA 90505-2536 | 2020-10-25 |
| 1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
| 1053918094 | Janel Nicole Sanglerat | Nurse Practitioner | 416 Aviation Blvd, Santa Rosa, CA 95403-1032 | 2020-10-02 |
| 1790382760 | Christopher Tran | Nurse Practitioner | 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 | 2020-10-02 |
| 1487266292 | Mollie Shira Hudson | Nurse Practitioner | 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 | 2020-08-21 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1952912131 | Norman Ivan Kier | Nurse Practitioner | 3834 Edison Ave, Sacramento, CA 95821-2728 | 2020-08-12 |
| 1942811377 | Thanhan Mathews | Nurse Practitioner | 114 W Cameron St Apt B, Hanford, CA 93230-2965 | 2020-08-10 |
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1245849645 | Shannon Pereira | Nurse Practitioner | 2368 Honeysuckle Way, Hemet, CA 92545-4796 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
| City | STUDIO CITY |
| Zip Code | 91604 |
Please comment or provide details below to improve the information on MISS AUDREY ETTA 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.