HEATHER SMITH (NPI# 1710464938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710464938 |
| Entity Type | Individual |
| Full Name | HEATHER SMITH |
| Practice Address |
9434 Lima Road Suite C Fort Wayne IN 46818 |
| Mailing Address |
9434 Lima Rd Ste C Fort Wayne IN 46818-8934 |
| Practice Telephone | 2604929334 |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396057 | Heather Smith | Behavior Technician | 25a Cr 5060, Bloomfield, NM 87413 | 2020-11-04 |
| 1043819071 | Heather Marie Smith | Technician | 117 Jarrolds Valley Rd, Whitesville, WV 25209-9465 | 2020-10-21 |
| 1912525387 | Heather Noel Smith | Dietitian, Registered | 206 Dela Gaye Pt, Beaufort, SC 29902-5888 | 2020-07-11 |
| 1326669722 | Heather Smith | Physical Therapist | 8257 Ballard Rd, Colfax, NC 27235-9710 | 2020-04-27 |
| 1770114068 | Heather Smith | Registered Nurse | 1398 New Hope Rd, Staunton, VA 24401-9262 | 2020-01-27 |
| 1669019659 | Heather Alexandra Smith | Counselor | 6221 Ne Fourth Plain Blvd, Suite 130, Vancouver, WA 98661-7210 | 2019-12-09 |
| 1962058859 | Heather Smith | Physical Therapy Assistant | 9604 57th Ave Apt 15h, Corona, NY 11368-3419 | 2019-08-15 |
| 1376017376 | Heather Sara Smith | Chiropractor | 4900 Highway 169 N Ste 205, New Hope, MN 55428-4017 | 2019-01-14 |
| 1245700475 | Heather Smith | Registered Nurse | 12555 Hwy 14 N, Sandia Park, NM 87047-9308 | 2018-11-30 |
| 1558840652 | Heather N Smith | Speech-Language Pathologist | 140 W Kennedale Pkwy, Kennedale, TX 76060 | 2018-08-09 |
| Street Address |
9434 LIMA ROAD SUITE C |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184146748 | Danielle Macias | Speech-Language Pathologist | 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 | 2017-07-14 |
| 1801326533 | Kimberly M Kindt | Optometrist | 9426 Lima Rd Ste C, Fort Wayne, IN 46818 | 2017-06-15 |
| 1578983359 | Sarah Buzzard | Occupational Therapy Assistant | 9426 Lima Road, A, Fort Wayne, IN 46818 | 2014-04-21 |
| 1306196704 | Peter Yang Gaw Go | Occupational Therapist | 3406 Bluefield Place, Fort Wayne, IN 46818 | 2012-09-12 |
| 1043593536 | Carol Lynn Steinbach | Massage Therapist | 12101 Hand Rd., Fort Wayne, IN 46818 | 2011-09-21 |
| 1295058071 | Summit Nutrition Services, LLC | Dietitian, Registered | 3027 Mariposa Place, Fort Wayne, IN 46818 | 2010-03-08 |
| 1184871899 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 9104 Strathmore Lane, Fort Wayne, IN 46818 | 2008-08-25 |
| 1285851121 | Angela Coleman | Dentist | 10505 Lima Road, Fort Wayne, IN 46818 | 2007-04-20 |
| 1942335534 | Angela S King | Dentist | 9019 Lima Road, Fort Wayne, IN 46818 | 2007-02-22 |
| 1639188154 | Washington Civil Township | Ambulance | 1834 W Wallen Rd, Fort Wayne, IN 46818 | 2006-08-05 |
| Find all providers in zip 46818 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871953364 | Res-care, Inc. | Day Training/Habilitation Specialist | 7561 W Jefferson Blvd, Fort Wayne, IN 46804-4131 | 2016-02-26 |
| 1902946791 | Nancy L Moore | Day Training/Habilitation Specialist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2007-02-08 |
| 1942833884 | Monchelle Denise Davis | Day Training/Habilitation Specialist | 9317 Madina Pkwy, Fort Wayne, IN 46825-1134 | 2020-02-19 |
| 1043856958 | Danyiel Colbert | Day Training/Habilitation Specialist | 9434 Lima Rd Ste C, Fort Wayne, IN 46818-2000 | 2019-11-26 |
| 1073159364 | Joy Davis | Day Training/Habilitation Specialist | 9434 Lima Rd Ste C, Fort Wayne, IN 46818-2000 | 2019-11-21 |
| 1194288639 | Yabome Korti | Day Training/Habilitation Specialist | 9434 Lima Rd Ste C, Fort Wayne, IN 46818-2000 | 2019-04-11 |
| 1548723109 | Amy Marie Sims | Day Training/Habilitation Specialist | 9434 Lima Rd Ste C, Fort Wayne, IN 46818-2000 | 2019-04-10 |
| 1346703071 | Tyler Hunter | Day Training/Habilitation Specialist | 9434 Lima Rd Ste C, Fort Wayne, IN 46818-2000 | 2019-04-10 |
| 1699238428 | Christina Marie Wolff | Day Training/Habilitation Specialist | 9434 Lima Rd Ste C, Fort Wayne, IN 46818-2000 | 2019-04-09 |
| 1801359682 | Jenna K Markley | Day Training/Habilitation Specialist | 9434 Lima Rd Ste C, Fort Wayne, IN 46818-2000 | 2019-04-09 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46818 |
Please comment or provide details below to improve the information on HEATHER 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.