MICHELLE SMITH (NPI# 1720694326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720694326 |
| Entity Type | Individual |
| Full Name | MICHELLE SMITH |
| Credential | PA-C |
| Practice Address |
2330 Andrea Ct Melbourne FL 32934-7601 |
| Practice Telephone | 3218484978 |
| Mailing Telephone | 3218484978 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288367 | Michelle Smith | Massage Therapist | 1230 Jayhil Dr, Minneola, FL 34715-5200 | 2020-09-01 |
| 1740806942 | Michelle N Smith | Registered Nurse | 1220 E. 2nd Avenue, Monmouth, IL 61462 | 2020-06-23 |
| 1891326377 | Michelle Smith | Registered Nurse | 609 Trees Dr, Cedar Hill, TX 75104-5084 | 2020-02-03 |
| 1285101758 | Michelle Smith | Counselor | 325 27th St, Dunbar, WV 25064-2211 | 2018-11-01 |
| 1467937060 | Michelle Smith | Counselor | 1509 Dorothy Nichols Ln Ste A-2, Smithville, TX 78957-1740 | 2018-09-28 |
| 1568940641 | Michelle Smith | Technician | 4914 7th St Nw # 1003, Washington, DC 20011-4002 | 2018-08-01 |
| 1588169551 | Michelle Sveiven Smith | Social Worker | 7064 W Point Douglas Rd S Ste 201, Cottage Grove, MN 55016-2691 | 2018-03-29 |
| 1568965770 | Michelle Leigh Smith | Counselor | 1580 R St, Penrose, CO 81240-9666 | 2018-03-14 |
| 1326554627 | Michelle Smith | Speech-Language Pathologist | 310 W Rockland Rd, Libertyville, IL 60048-2739 | 2017-12-21 |
| 1437661527 | Michelle Parker Smith | Social Worker | 200 S Broad St Ste B, New Orleans, LA 70119-6447 | 2017-10-29 |
| Street Address |
2330 ANDREA CT |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32934-7601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530419 | Ryan Thomas Kammerdener | Pharmacist | 3003 Bay Wind Ct, Melbourne, FL 32934 | 2020-05-20 |
| 1558833731 | Deborah J Gaffney | Specialist/Technologist | 3060 Kershaw Court, Melbourne, FL 32934 | 2018-12-27 |
| 1548703200 | Damaris Escarment | Counselor | 3550 W. Eau Gallie Blvd, Melbourne, FL 32934 | 2016-11-29 |
| 1447686324 | Sarai Escarment | Counselor | 3550 W Eau Gallie Blvd, Melbourne, FL 32934 | 2013-09-23 |
| 1871874974 | Felipe E. Dominguez, Md, Pa | Clinical Medical Laboratory | 3030 Venture Lane, Ste 108, Melbourne, FL 32934 | 2011-09-01 |
| 1376821637 | Christine Natasha Williams Kelly | Counselor | 4450 West Eau Gallie Blvd, Suite 200, Melbourne, FL 32934 | 2011-08-03 |
| 1912203316 | Sheryl Yatsko | Physical Therapy Assistant | 3303 Sarno Rd, Melbourne, FL 32934 | 2011-02-01 |
| 1255564191 | Joy Cheryl Mullen | Occupational Therapy Assistant | 1890 Whispering Oaks Cir, West Melbourne, FL 32934 | 2009-08-26 |
| 1619031531 | The Devereux Foundation | Case Management | 1591 Robert J Conlan Boulevard, Palm Bay, FL 32934 | 2006-12-22 |
| 1457456600 | Jo A Kologlu | Physical Therapist | 5025 Smithfield Rd, Melbourne, FL 32934 | 2006-09-13 |
| Find all providers in zip 32934 | ||||
| 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 |
|---|---|---|---|---|
| 1164021895 | Breeyon Beachel | Physician Assistant | 4610 Beck Lake Trl Apt 1, Melbourne, FL 32901-8805 | 2020-10-23 |
| 1215535257 | Melissa Lee Amos | Physician Assistant | 3543 Providence Trace Dr, Melbourne, KY 41059-9203 | 2020-10-12 |
| 1093331787 | Alyssa Capawana | Physician Assistant | 6740 Shadow Creek Trl Apt 5410, Melbourne, FL 32940-6293 | 2020-06-18 |
| 1194359018 | Jarrod D Kearney | Physician Assistant | 580 N Wickham Rd Ste C, Melbourne, FL 32935-8400 | 2020-02-29 |
| 1104392851 | Rachel Margaret Martins | Physician Assistant | 1052 Fieldstone Dr, Melbourne, FL 32940-1633 | 2018-10-21 |
| 1497230320 | Mirabella M. Muller | Physician Assistant | 298 Michigan Ave Ste 101, Melbourne, FL 32901-3104 | 2018-09-26 |
| 1952743924 | Kristin Wagner | Physician Assistant | 2200 W. Eau Gallie Blvd., Suite 202c, Melbourne, FL 32935-3166 | 2013-07-19 |
| 1538485941 | David Luke Brightwell | Physician Assistant | 54 Tate Springs Rd, Melbourne, AR 72556-8633 | 2010-04-09 |
| 1679808588 | Maycie A Cruz | Physician Assistant | Family Practice of Suntree and Viera, 2 Suntree Place, Melbourne, FL 32940 | 2009-10-09 |
| 1245467828 | Tony Ray Potter | Physician Assistant | 400 Sheridan Rd, Melbourne, FL 32901-3184 | 2009-06-22 |
| Find all providers in MELBOURNE | ||||
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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.