MS. MARY JEAN SMITH (NPI# 1679183560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679183560 |
| Entity Type | Individual |
| Full Name | MS. MARY JEAN SMITH |
| Credential | CADCI |
| Practice Address |
2105 Capurro Way Ste 270 Sparks NV 89431-8518 |
| Mailing Address |
2105 Capurro Way Suite 270 Sparks NV 89431 |
| Practice Telephone | 7754995534 |
| Practice Fax Number | 7754995535 |
| Mailing Telephone | 7754995534 |
| Mailing Fax Number | 7754995535 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604133 | Mary Smith | Technician | 3306 Cypress Ave, Cleveland, OH 44109-4935 | 2020-09-22 |
| 1275147209 | Mary Irene Smith | Technician | 490 Court St, Fort Gay, WV 25514-9304 | 2020-09-08 |
| 1346863016 | Mary Maegan Smith | Physical Therapy Assistant | 4545 State Highway 135 N, Jacksonville, TX 75766-6971 | 2020-05-28 |
| 1326668716 | Mary Smith | Adult Companion | 2546 Ne 11th Pl, Gainesville, FL 32641-4886 | 2020-04-25 |
| 1912534256 | Mary Margaret Smith | Dietitian, Registered | 756 Forest Dr, Mayville, WI 53050-1704 | 2020-03-26 |
| 1265074454 | Mary Elizabeth Smith | Nurse Practitioner | 1441 Ne 10th Ave # Aev, Payette, ID 83661-5420 | 2019-10-09 |
| 1477014686 | Mary Smith | Physical Therapy Assistant | 209 Laura Springs Dr, Salisbury, NC 28146-7216 | 2019-03-29 |
| 1578040341 | Mary Stefanie Smith | Marriage & Family Therapist | 17581 Via Sereno, Monte Sereno, CA 95030-3201 | 2018-07-25 |
| 1720588817 | Mary Smith | Home Health Aide | 5333 Dix St Ne, Washington, DC 20019-6664 | 2018-02-15 |
| 1487162319 | Mary Melvin Smith | Nurse Practitioner | 107 Cannon Run, Canton, MS 39046-8033 | 2018-01-12 |
| Street Address |
2105 CAPURRO WAY STE 270 |
| City | SPARKS |
| State | NV |
| Zip Code | 89431-8518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958033 | Jerome Johnson II | Behavioral Analyst | 3115 Saltern Way, Sparks, NV 89431 | 2019-12-09 |
| 1528520640 | Dynisha Bernee Richardson | Technician, Other | 616 Victorian Ave, Sparks, NV 89431 | 2019-04-05 |
| 1902376494 | Avalon Care Center-va Reno, LLC | Skilled Nursing Facility | 36 Battle Born Way, Sparks, NV 89431 | 2018-11-28 |
| 1669964128 | Abraham A Arellano | Behavioral Analyst | 2005 Probasco Way, Sparks, NV 89431 | 2018-05-31 |
| 1003335399 | Carresa Greer | Counselor | 390 Freeport Blvd #3, Sparks, NV 89431 | 2017-09-18 |
| 1689197444 | Fred Blauth Jr. | Counselor | 2105 Sullivan Ln, Sparks, NV 89431 | 2017-07-24 |
| 1548719255 | Adolescent Treatment Center | Community Based Residential Treatment Facility, Mental Illness | 480 Galetti Way, Sparks, NV 89431 | 2016-09-23 |
| 1124478862 | Kristina Schneider | Behavioral Analyst | 3230 Wedekind Rd, 50, Sparks, NV 89431 | 2016-06-14 |
| 1336506898 | Rikki Texter | Occupational Therapy Assistant | 1025 Robert Lane, Sparks, NV 89431 | 2016-01-28 |
| 1851760177 | Elizabeth Ojeda | Counselor | 490 Galletti Way, Building 8c, Sparks, NV 89431 | 2015-09-16 |
| Find all providers in zip 89431 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912482886 | Jennifer Eileen Hernandez | Counselor | 25 Curnow Springs Ct, Sparks, NV 89436-5616 | 2018-09-26 |
| 1861993602 | Daxea Deweese | Counselor | 2105 Capurro Way Ste 105, Sparks, NV 89431-8586 | 2018-02-27 |
| 1912422593 | Megan Taylor Dominguez | Counselor | 480 Galletti Way Bldg 1, Sparks, NV 89431-5564 | 2017-08-04 |
| 1689197444 | Fred Blauth Jr. | Counselor | 2105 Sullivan Ln, Sparks, NV 89431 | 2017-07-24 |
| 1851760177 | Elizabeth Ojeda | Counselor | 490 Galletti Way, Building 8c, Sparks, NV 89431 | 2015-09-16 |
| 1023486438 | Sucelly Melissa Diaz Erazo | Counselor | 501 El Rancho Dr Spc 88, Sparks, NV 89431-4117 | 2015-09-02 |
| 1003292657 | Alicia Aparicio | Counselor | 1795 Trabert Cir, Sparks, NV 89431-2960 | 2015-08-06 |
| 1700265089 | Arcadia Recovery Center | Counselor | 1188 Victorian Plaza Cir, Sparks, NV 89431-4943 | 2015-05-20 |
| 1164814208 | Erick Becerra | Counselor | 1555 Oddie Blvd Suite B, Sparks, NV 89431 | 2015-02-26 |
| 1124464193 | Lindsay Erminia Holland | Counselor | 420 S Rock Blvd, Sparks, NV 89431-5547 | 2013-05-17 |
| Find all providers in SPARKS | ||||
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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.