GUILLENNE SMITH (NPI# 1649756719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649756719 |
Entity Type | Individual |
Full Name | GUILLENNE SMITH |
Credential | MSN, FNP-C |
Practice Address |
2311 10th Ave N Ste 4 Lake Worth FL 33461-6605 |
Mailing Address |
2311 10th Ave N Lake Worth FL 33461-6605 |
Practice Telephone | 5618558647 |
Mailing Telephone | 5618558647 |
Enumeration Date | 2018-07-12 |
Last Update Date | 2020-02-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9254635 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2311 10TH AVE N STE 4 |
City | LAKE WORTH |
State | FL |
Zip Code | 33461-6605 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225319783 | Ventricia Victor | Nurse Practitioner | 2311 10th Ave N Ste 4, Lake Worth, FL 33461-6605 | 2011-08-29 |
1316406143 | Atrinity Point Health Center, LLC | Clinic/Center | 2311 10th Ave N Ste 4, Lake Worth, FL 33461-6605 | 2019-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
Find all providers in zip 33461 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568077618 | Christina Lynn Shovick | Nurse Practitioner | 5900 White Cypress Dr, Lake Worth, FL 33467-6229 | 2020-09-14 |
1295347946 | Romedrude Faustin | Nurse Practitioner | 4899 Pinemore Ln, Lake Worth, FL 33463-6994 | 2020-08-22 |
1740898865 | Suzette W Lindgren | Nurse Practitioner | 7321 Via Luria, Lake Worth, FL 33467-5254 | 2020-07-14 |
1386270015 | Christelle Delva | Nurse Practitioner | 7550 Lauden Dr, Lake Worth, FL 33467-7804 | 2020-03-13 |
1225676901 | Gilbert Jean Louis | Nurse Practitioner | 6692 Waverly Ln, Lake Worth, FL 33467-7360 | 2019-12-13 |
1508411158 | Michelle Ruddock | Nurse Practitioner | 6604 Constance St, Lake Worth, FL 33467-7660 | 2019-08-09 |
1457906497 | Sabine Moss | Nurse Practitioner | 7937 Ambleside Way, Lake Worth, FL 33467-7351 | 2019-08-06 |
1104488410 | Stefanie Lynn Warren | Nurse Practitioner | 5940 Teakwood Rd, Lake Worth, FL 33467-6349 | 2019-07-08 |
1245792365 | Miloude Joaceus | Nurse Practitioner | 5736 Judd Falls Rd E, Lake Worth, FL 33463-1562 | 2019-04-05 |
1598224560 | Beverley J West | Nurse Practitioner | 10261 Oak Meadow Ln, Lake Worth, FL 33449-5468 | 2019-03-18 |
Find all providers in LAKE WORTH |
City | LAKE WORTH |
Zip Code | 33461 |
Please comment or provide details below to improve the information on GUILLENNE 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.