DR. SAMANTHA JADE SMITH (NPI# 1720523095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720523095 |
| Entity Type | Individual |
| Full Name | DR. SAMANTHA JADE SMITH |
| Credential | PSY.D |
| Practice Address |
1200 Ne 55th Blvd Gainesville FL 32641 |
| Mailing Address |
Po Box 358343 Gainesville FL 32635-8343 |
| Practice Telephone | 5613864231 |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2019-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY9680 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4026 Nw 34th Dr, Gainesville, FL 326051493 | 5613864231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717008 | Samantha Smith | Registered Nurse | 4428 Dr Thomas Walker Rd, Rose Hill, VA 24281-8382 | 2020-07-13 |
| 1417571266 | Samantha Kay Smith | Registered Nurse | 7510 Angelwing Dr, Corpus Christi, TX 78414-6081 | 2020-06-07 |
| 1548742398 | Samantha Blaire Smith | Specialist/Technologist | 1946 Tennyson Ave Ne, Massillon, OH 44646-2600 | 2018-08-29 |
| 1831683267 | Samantha Smith | Physical Therapy Assistant | 334 Crandall Way, Spartanburg, SC 29301-5372 | 2018-06-19 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1912366246 | Samantha Michelle Smith | Specialist/Technologist | 2305 Milan Rd, Sandusky, OH 44870-4997 | 2016-02-15 |
| 1972977338 | Samantha Marie Smith | Nurse Practitioner | 9219 Cypresswood Cir, Tampa, FL 33647-2431 | 2015-11-23 |
| 1811380926 | Samantha Smith | Nurse Practitioner | 101 Physicians Way Ste 111, Lebanon, TN 37090 | 2015-03-13 |
| 1679974463 | Samantha Brittany Smith | Audiologist | 5673 Peachtree Dunwoody Rd Ste 150, Atlanta, GA 30342-1771 | 2014-09-11 |
| 1386991586 | Samantha Paige Smith | Case Manager/Care Coordinator | 902 S. Myrtle Ave., Monrovia, CA 91016 | 2012-08-07 |
| Street Address |
1200 NE 55TH BLVD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861469843 | Cynthia Sowers Cromer | Internal Medicine | 1200 Ne 55th Blvd, Gainesville, FL 32641-2759 | 2006-03-08 |
| 1780242388 | James Luel Poole Iv | Nurse Practitioner | 1200 Ne 55th Blvd, Gainesville, FL 32641-2783 | 2019-05-30 |
| 1912322298 | Alexandra Leader | Pharmacist | 1200 Ne 55th Blvd, Attn: Nfetc Pharmacy, Gainesville, FL 32641-2783 | 2014-02-24 |
| 1053598714 | Cipriano S Fernandes | Psychiatry & Neurology | 1200 Ne 55th Blvd, North Florida Eval/treatment Center, Gainesville, FL 32641-2783 | 2008-01-24 |
| 1659587707 | Kathryn Jean Ednie | Psychiatry & Neurology | 1200 Ne 55th Blvd, Gainesville, FL 32641-2783 | 2007-05-15 |
| 1477697753 | Norman David Guthrie | Psychiatry & Neurology | 1200 Ne 55th Blvd, Gainesville, FL 32641-2783 | 2007-02-19 |
| 1083784524 | Raymond E. Gabb | Psychiatry & Neurology | 1200 Ne 55th Blvd, Gainesville, FL 32641-2783 | 2006-11-09 |
| 1457439770 | Rosa M Martin | General Practice | 1200 Ne 55th Blvd, Gainesville, FL 32641 | 2006-11-02 |
| 1851470819 | Eduardo Infante | Psychiatry & Neurology | 1200 Ne 55th Blvd, Gainesville, FL 32641-2783 | 2006-11-02 |
| 1629168497 | Ivan Antonio Lopez | Psychiatry & Neurology | 1200 Ne 55th Blvd, Gainesville, FL 32641-2783 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578060323 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1120 E University Ave Ste 200, Gainesville, FL 32641 | 2018-04-09 |
| 1750882940 | Enough Love LLC | In Home Supportive Care | 1424 Ne 4th Avenue, Gainesville, FL 32641 | 2018-02-23 |
| 1053822981 | Thomas Richard Obrien | Licensed Practical Nurse | 1604 S.e. 3rd Ave., Gainesville, FL 32641 | 2017-10-18 |
| 1184842734 | Abigail N Yeh | Music Therapist | 2610 Se 31st St, Gainesville, FL 32641 | 2007-04-20 |
| 1023120920 | Lynne Marie Webster | Registered Nurse | Achd 224 Se 24th St, Gainesville, FL 32641 | 2006-08-31 |
| 1477048080 | Lara Rae Rybak | Family Medicine | 410 Ne Waldo Rd, Gainesville, FL 32641 | 2018-06-26 |
| 1871967133 | Caitlin Gable | Social Worker | 1604 Se 3rd Ave, Gainesville, FL 32641 | 2015-11-23 |
| 1184097966 | Bhumi Patel | Physician Assistant | 224 Se 24th Street, Gainesville, FL 32641 | 2015-11-03 |
| 1588047468 | Volha Titov | Dentist | 410 Ne Waldo Rd, Gainesville, FL 32641 | 2015-07-09 |
| 1215196621 | Elvira Silveria Mercado | Family Medicine | 410 Ne Waldo Rd, Gainesville, FL 32641 | 2008-06-02 |
| Find all providers in zip 32641 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992353999 | Greater Gainesville Counseling & Wellness Center | Psychologist | 4130 Nw 37th Pl Ste Boffice1, Gainesville, FL 32606-8152 | 2019-09-03 |
| 1518515089 | Joseph Michael Gullett | Psychologist | 1600 Sw Archer Rd Rm G-901, Gainesville, FL 32610-1135 | 2019-08-28 |
| 1710532205 | Robert Scott Merrell | Psychologist | 3940 Nw 37th Pl, Gainesville, FL 32606-6145 | 2019-08-02 |
| 1669974713 | Alana Rawlinson | Psychologist | 1600 Sw Archer Rd Ste G-901, Gainesville, FL 32610-3003 | 2018-03-05 |
| 1407397037 | North Georgia Neuropsychological Services | Psychologist | 1485 Jesse Jewel Parkway Se, Gainesville, GA 30501 | 2017-03-15 |
| 1295111839 | Cari Short | Psychologist | 8320 Pine Knott Ct, Gainesville, VA 20155-5218 | 2015-08-05 |
| 1104223890 | Jennifer Martin | Psychologist | 1624 Nw 6th St, Gainesville, FL 32609-3530 | 2014-11-25 |
| 1942620646 | Joy Gabrielli | Psychologist | 2000 Sw Archer Rd G-901, Gainesville, FL 32610-7825 | 2014-04-21 |
| 1518392828 | Regilda Anne Romero | Psychologist | 2121 Nw 40th Ter Ste B, Gainesville, FL 32605-5814 | 2013-09-05 |
| 1003257189 | Marc Kepner LLC | Psychologist | 9224 Nw 59th Ln, Gainesville, FL 32653-2880 | 2013-07-17 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32641 |
Please comment or provide details below to improve the information on DR. SAMANTHA JADE 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.