MRS. JILL PAULETTE SMITH (NPI# 1699044677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699044677 |
| Entity Type | Individual |
| Full Name | MRS. JILL PAULETTE SMITH |
| Credential | P.A. |
| Practice Address |
2180 Main St Wailuku HI 96793-1625 |
| Practice Telephone | 8082426464 |
| Practice Fax Number | 8082424292 |
| Mailing Telephone | 8082426464 |
| Mailing Fax Number | 8082424292 |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2013-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | AMD-525 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421112 | Jill Smith | Registered Nurse | 18601 W. Campbell Avenue, Goodyear, AZ 85395-8539 | 2019-11-08 |
| 1073087870 | Jill L Smith | Counselor | 1050 Willagillespie Rd Ste 103, Eugene, OR 97401-6718 | 2019-01-15 |
| 1184195273 | Jill Frances Smith | Behavior Technician | 2212 Canary Dr Unit E, Rockford, IL 61103-1928 | 2018-12-16 |
| 1346754421 | Jill Anne Smith | Massage Therapist | 980 Forest Ave Ste 204, Portland, ME 04103-3336 | 2017-11-28 |
| 1356630883 | Jill Ann Smith | Registered Nurse | 3732 Bari Way, B202, South Jordan, UT 84095-5590 | 2011-04-05 |
| 1972822633 | Jill Elise Smith | Occupational Therapist | 30 Greystone Rd, Rockville Centre, NY 11570-4513 | 2010-05-20 |
| 1376879114 | Jill Ellen Smith | Acupuncturist | 307 Patleigh Rd, Catonsville, MD 21228-5631 | 2009-10-29 |
| 1366681926 | Jill Marie Smith | Licensed Practical Nurse | 34826 Carter Street Rd, La Fargeville, NY 13656-3235 | 2009-02-05 |
| 1841441441 | Jill Allison Smith | Physical Therapist | 1480 Oxford Valley Road, Manor Care Yardley, Yardley, PA 19067 | 2008-10-02 |
| 1285891291 | Jill N Smith | Radiologic Technologist | 2926 County Road 47, Canandaigua, NY 14424-8832 | 2008-05-19 |
| Street Address |
2180 MAIN ST |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578827 | Judy L Schmidt | Internal Medicine | 2180 Main St, Wailuku, HI 96793-1625 | 2005-06-15 |
| 1710502331 | Jalin K.a. Finai | Audiologist | 2180 Main St, Wailuku, HI 96793-1625 | 2020-06-09 |
| 1154951499 | Philip Michael Tongg Jr. | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2020-01-24 |
| 1902440365 | Natasha Victoria Murray | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793-1625 | 2019-10-29 |
| 1740831445 | Maria Castellanos | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2019-09-24 |
| 1770143026 | Tamsyn Kellough | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2019-06-19 |
| 1851863419 | Emily Newman | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2018-12-20 |
| 1083100986 | Rebeka Lyn Coleman | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2018-07-03 |
| 1700383155 | Shawna Wiley | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793 | 2018-04-11 |
| 1821516618 | Tanya Takatani-apo | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793-1625 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740831445 | Maria Castellanos | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2019-09-24 |
| 1770143026 | Tamsyn Kellough | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2019-06-19 |
| 1851863419 | Emily Newman | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2018-12-20 |
| 1083100986 | Rebeka Lyn Coleman | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2018-07-03 |
| 1669911640 | Ariel M Berrios | Physician Assistant | 221 Mahalani St, Wailuku, HI 96793-2526 | 2017-02-23 |
| 1508304684 | Benjamin Contessa | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2017-02-08 |
| 1598005746 | Lindsay Bannon Leggett | Physician Assistant | 1883 Mill St, Wailuku, HI 96793-1236 | 2013-02-26 |
| 1073850178 | Judy Lavenson | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2013-01-09 |
| 1194074815 | Amanda Jo Shaw | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2012-09-10 |
| 1346507555 | Victoria Redmond | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2012-04-12 |
| Find all providers in WAILUKU | ||||
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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.