MS. TRACEY JEAN SMITH (NPI# 1720582174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720582174 |
| Entity Type | Individual |
| Full Name | MS. TRACEY JEAN SMITH |
| Credential | CPT |
| Practice Address |
710 N Main St Clinton TN 37716-3143 |
| Practice Telephone | 8654258801 |
| Practice Fax Number | 8654577252 |
| Mailing Telephone | 8654258801 |
| Mailing Fax Number | 8654577252 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
L8F6G9P2 | TN | Technologists, Technicians & Other Technical Service Providers |
| N | 172V00000X | Community Health Worker | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952948572 | Tracey Smith | Technician | 234 Jefferson St Nw, Washington, DC 20011-6630 | 2019-12-02 |
| 1417512039 | Tracey Denise Smith | Nurse Practitioner | 12453 Charlotte St, Kansas City, MO 64146-1310 | 2019-05-08 |
| 1144711938 | Tracey Simone Smith | Registered Nurse | 228 Logan St Fl 1a, Brooklyn, NY 11208-1965 | 2018-05-29 |
| 1851759914 | Tracey Lyn Smith | Driver | 1212 Faussett Rd, Howell, MI 48855-7205 | 2016-02-04 |
| 1790107357 | Tracey Lee Smith | Physician Assistant | 1970-c West Arlington Blvd, Greenville, NC 27837-5783 | 2014-01-15 |
| 1386989226 | Tracey A Smith | Licensed Practical Nurse | 1210 15th St Ne, Canton, OH 44705-1208 | 2012-12-04 |
| 1356470751 | Tracey Lynn Smith | Physical Therapist | 167 Smith Rd, Lake Ronkonkoma, NY 11779-2213 | 2007-03-04 |
| 1295385706 | Tracey Ann Smith | Speech-Language Pathologist | 6101 N State Line Ave, Texarkana, TX 75503-5309 | 2019-09-17 |
| 1427513324 | Tracey Smith | Physician Assistant | 1107 Eaton Ave, Bethlehem, PA 18018-1862 | 2019-02-05 |
| 1821505652 | Tracey Smith | Counselor | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2018-01-02 |
| Street Address |
710 N MAIN ST |
| City | CLINTON |
| State | TN |
| Zip Code | 37716-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719596 | Mallory O'brien | Registered Nurse | 710 N Main St, Clinton, TN 37716-3143 | 2020-10-26 |
| 1114535036 | Wesley Whisenant | Dentist | 710 N Main St, Clinton, TN 37716-3143 | 2020-07-16 |
| 1831732916 | Sarah Hogan | Nurse's Aide | 710 N Main St, Clinton, TN 37716-3143 | 2019-10-22 |
| 1083267835 | Viginia Lynn Canfield | Nurse's Aide | 710 N Main St, Clinton, TN 37716-3143 | 2019-07-22 |
| 1033694021 | Sierra Cheyenne Mccullah | Registered Nurse | 710 N Main St, Clinton, TN 37716-3143 | 2018-09-26 |
| 1114409307 | Stephanie Seeber | Licensed Practical Nurse | 710 N Main St, Clinton, TN 37716-3143 | 2018-09-04 |
| 1275029217 | Katrina Michelle Bailey | Nurse's Aide | 710 N Main St, Clinton, TN 37716-3143 | 2018-07-02 |
| 1861995169 | Lisa Marie Lay | Nurse's Aide | 710 N Main St, Clinton, TN 37716-3143 | 2018-03-13 |
| 1427586619 | Mary Lauren Sharp | Dentist | 710 N Main St, Clinton, TN 37716-3143 | 2017-06-01 |
| 1225574585 | Aleah Knudson | Nurse's Aide | 710 N Main St, Clinton, TN 37716-3143 | 2017-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650870 | Kellye Watkins Wilson | Dental Hygienist | 420 S. Charles Seivers Blvd, Clinton, TN 37716 | 2018-12-16 |
| 1326428087 | Sandra Ella Humphrey Mincey | Registered Nurse | Mcneeley Family Physicians, 110 Executive Park Drive, Clinton, TN 37716 | 2015-06-08 |
| 1598157224 | Susan Price Teffeteller | Nurse Practitioner | 159 Frank L Diggs Road, Clinton, TN 37716 | 2015-03-04 |
| 1710268065 | Jimmy Neil Mcbride | Pharmacist | 1130 North Charles G. Seivers Boulevard, Clinton Drug Store, Clinton, TN 37716 | 2011-08-31 |
| 1265684658 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 507 South Charles Sevier Boulevard, Clinton, TN 37716 | 2008-10-16 |
| 1912186016 | Comprehensive Industrial Services Inc | Physical Therapist | 1107 Charles Seivers Blvd, Suite 2, Clinton, TN 37716 | 2007-10-25 |
| 1205039120 | Pamela H. Gross, Ph.d, P.C. | Psychologist | 1729 Dutch Valley Road, Clinton, TN 37716 | 2007-06-07 |
| 1396872057 | Health Care Inc | Pharmacy | 1130 N Charles Seivers Blvd, Clinton, TN 37716 | 2007-02-28 |
| 1346389889 | Kellie Gaetz | Physical Therapist | 1115 Charles Seivers Blvd, Suite 22, Clinton, TN 37716 | 2007-02-05 |
| 1396883955 | Phoenix Counseling Services, Inc. | Counselor | 729 Charles Seivers, Clinton, TN 37716 | 2007-02-02 |
| Find all providers in zip 37716 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467837955 | Khawanda Kim Boyd | Technician, Pathology | 3838 Atwell Dr, Nashville, TN 37207-3601 | 2015-07-24 |
| 1255737169 | Nita Watkins | Technician, Pathology | 315 Lema Pl, Memphis, TN 38105-3203 | 2014-11-05 |
| 1871859934 | Shondra Nicole Reese | Technician, Pathology | 15 Lake Forest Dr, Mount Juliet, TN 37122-1345 | 2012-04-03 |
| 1033406111 | Medipharm Inc. | Technician, Pathology | 295 S Bellevue Blvd, Suite # 3, Memphis, TN 38104-7517 | 2011-07-08 |
| 1881995777 | Gregory Chapman | Technician, Pathology | 8470 Rhiannon Dr, Memphis, TN 38125-3353 | 2010-11-08 |
| 1538776059 | Kyla Michelle Taylor | Technician, Pathology | 815 W 5th North St, Morristown, TN 37814-3810 | 2020-09-29 |
| 1740826882 | Linda F Johnson | Technician, Pathology | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2019-11-25 |
| 1952951022 | Dariya Nikolaevna Rybalka | Technician, Pathology | 2018 Western Ave, Knoxville, TN 37921-5718 | 2019-09-19 |
| 1801457866 | Manal Abbas | Technician, Pathology | 2018 Western Ave, Knoxville, TN 37921-5718 | 2019-06-21 |
| 1093285314 | Elsa Nelida Martinez | Technician, Pathology | 815 W 5th North St, Morristown, TN 37814-3810 | 2018-11-29 |
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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.