GRADY SMITH (NPI# 1750734745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750734745 |
| Entity Type | Individual |
| Full Name | GRADY SMITH |
| Credential | CDP |
| Practice Address |
128 Blueberry Ct Sw Pacific WA 98047-1354 |
| Practice Telephone | 2062915998 |
| Practice Fax Number | 2537350466 |
| Mailing Telephone | 2062915998 |
| Mailing Fax Number | 2537350466 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
00006290 | WA | Behavioral Health & Social Service Providers |
| Street Address |
128 BLUEBERRY CT SW |
| City | PACIFIC |
| State | WA |
| Zip Code | 98047-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760986160 | Salome Khasungu Shivachi | Registered Nurse | 208 Tacoma Blvd N, Pacific, WA 98047-1010 | 2018-03-20 |
| 1801406343 | Juan B Medina | Interpreter | 101 Tacoma Blvd N Apt 1, Pacific, WA 98047-1045 | 2020-08-07 |
| 1578924999 | Vito Joseph Tamburello | Dental Assistant | 733 4th Ave Ne Apt 507, Pacific, WA 98047-1266 | 2016-03-12 |
| 1467761965 | Suzan Marie-jon Douglass | Massage Therapist | 345 Pacific Ave N Apt Bb6, Pacific, WA 98047-1291 | 2010-09-30 |
| 1790090991 | Judy H Jansen | Specialist | 410 Milwaukee Blvd S, Pacific, WA 98047-1315 | 2010-08-11 |
| 1609414424 | Sarah Danielle Dwyer | Massage Therapist | 253 6th Ave Sw, Pacific, WA 98047-1371 | 2019-12-11 |
| 1922632058 | Katherine Barbara Lukes | Specialist/Technologist | 624 Glacier Ave S, Pacific, WA 98047-1378 | 2020-02-27 |
| 1770530305 | Joan Stiggelbout | Nurse Practitioner | 603 3rd Ave Se, Pacific, WA 98047-1431 | 2006-05-28 |
| 1669837621 | Kiley K Gallentine | Counselor | 413 Wayne Ave Se, Pacific, WA 98047-1453 | 2015-12-17 |
| 1235141474 | Scooters America LLC | Durable Medical Equipment & Medical Supplies | 170 Stewart Rd Sw, Pacific, WA 98047-2108 | 2006-08-13 |
| Find all providers in zip 98047 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467564 | Summit Health Management Pllc | Counselor | 6625 Wagner Way Ste 320, Gig Harbor, WA 98335-8392 | 2020-11-05 |
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1457951311 | Jonathan B Hall | Counselor | 1107 Grant Ave, Port Angeles, WA 98362-2728 | 2020-10-29 |
| 1598365595 | Deepeka Taya | Counselor | 17123 120th Ln Se Apt S303, Renton, WA 98058-5992 | 2020-10-28 |
| 1447850904 | Bethany Baril | Counselor | 1800 112th Ave Ne Ste 150w, Bellevue, WA 98004-2993 | 2020-10-26 |
| 1588263032 | Mark Alan Jewett | Counselor | 528 208th Ave Ne, Sammamish, WA 98074-6936 | 2020-10-25 |
| 1184223869 | Season Silk | Counselor | 523 Rainier St, La Conner, WA 98257-4707 | 2020-10-22 |
| 1366041048 | Shawna Lynn Mokler | Counselor | 841 Central Ave N Ste 215, Kent, WA 98032-2014 | 2020-10-22 |
| 1548868276 | Mind Over Matters, Pllc | Counselor | 2525 55th Ave Ne, Tacoma, WA 98422-3404 | 2020-10-14 |
| 1770180200 | Arika Wydur | Counselor | 23912 27th Ave Ne, Arlington, WA 98223-7629 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
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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.