MS. RHONDA MICHELLE SMITH (NPI# 1649437997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649437997 |
| Entity Type | Individual |
| Full Name | MS. RHONDA MICHELLE SMITH |
| Other Name | RHONDA MICHELLE JOHNSON |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
1300 Mable Avenue Suite 2 Modesto CA 95355 |
| Practice Telephone | 2095711992 |
| Practice Fax Number | 2095711994 |
| Mailing Telephone | 2095711992 |
| Mailing Fax Number | 2095711994 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2012-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA14435 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PA LICENSE | PA14435 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116632 | Rhonda L. Smith | Psychologist | 4032 E Whitman St, Tucson, AZ 85711-2854 | 2020-05-27 |
| 1659748879 | Rhonda L. Smith | Specialist | 6218 Us Highway 301 N, Ellenton, FL 34222-3065 | 2015-08-24 |
| 1619234895 | Rhonda Chandler Smith | Nurse Practitioner | 1600 7th Ave S Ste 512, Birmingham, AL 35233-1711 | 2012-04-12 |
| 1023308566 | Rhonda B Smith | Counselor | 404 W 9th St Ste 104, Georgetown, TX 78626-5559 | 2011-04-18 |
| 1295901643 | Rhonda Renee Smith | Speech-Language Pathologist | 1195 Highway 687, Manchester, KY 40962-7325 | 2008-05-06 |
| 1134391527 | Rhonda M. Smith | Speech-Language Pathologist | 194 Rocky Meadow St, Middleboro, MA 02346-3014 | 2008-03-26 |
| 1275729618 | Rhonda Sue Smith | Pharmacist | 11435 Oaklawn Rd, Biloxi, MS 39532-8144 | 2007-09-19 |
| 1881714616 | Rhonda N Smith | Occupational Therapist | 9701 S Carpenter St, Chicago, IL 60643-1527 | 2007-03-29 |
| 1376639450 | Rhonda Jeane Smith | Physical Therapist | 1441 N Harlem Ave Unit C, Oak Park, IL 60302-1271 | 2006-10-05 |
| 1780694778 | Rhonda Miachele Smith | Counselor | 100 North 31street, Clinton, OK 73601 | 2006-08-09 |
| Street Address |
1300 MABLE AVENUE SUITE 2 |
| City | MODESTO |
| State | CA |
| Zip Code | 95355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871657403 | Central Valley Pain Management and Wellness Clinic | Pain Medicine | 1300 Mable Avenue, Suite 2, Modesto, CA 95355-1120 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992987259 | Kristine Ann Rebiero | Physician Assistant | 1030 Scenic Dr, Modesto, CA 95350-6133 | 2007-11-28 |
| 1174606800 | Delia Yanira Hernandez | Physician Assistant | 1317 Oakdale Rd Ste 440, Modesto, CA 95355 | 2006-10-24 |
| 1194821223 | Linda Sue Phillips | Physician Assistant | 3400 Finch Rd, Parker-racor Healthstat Clinic, Modesto, CA 95354-4125 | 2006-09-16 |
| 1265415525 | Natalie Angele Mattos | Physician Assistant | 1114 6th St, Modesto, CA 95354-2203 | 2005-11-21 |
| 1598264103 | Corey Tremblay | Physician Assistant | 817 Coffee Rd Ste B, Modesto, CA 95355-4241 | 2018-02-09 |
| 1720592033 | Jennifer Ann O'connor | Physician Assistant | 1114 6th St, Modesto, CA 95354-2203 | 2017-11-22 |
| 1275938748 | Cleiban Hernan Vega | Physician Assistant | 1234 Mchenry Ave, Modesto, CA 95350-5373 | 2014-10-27 |
| 1861895278 | David Ronald Boone | Physician Assistant | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2014-09-30 |
| 1730594078 | Joshua Clements | Physician Assistant | 2101 Tenaya Dr, Modesto, CA 95354-3930 | 2014-06-25 |
| 1134473564 | Sheena Latrac Allen | Physician Assistant | 1441 Florida Ave, Modesto, CA 95350-4404 | 2012-11-07 |
| Find all providers in MODESTO | ||||
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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.