MRS. LISA J SMITH (NPI# 1760694954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760694954 |
| Entity Type | Individual |
| Full Name | MRS. LISA J SMITH |
| Credential | RN,MSN,NP |
| Practice Address |
17300 N. Outer 40 Ste 100 Chesterfield MO 63005 |
| Mailing Address |
18926 Wildhorse Creek Wildwood MO 63005 |
| Practice Telephone | 6365198889 |
| Mailing Telephone | 6365194084 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
R3N29 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RN LICENSE NUMBER | 104229 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626403 | Lisa Whyeyeh Smith | Early Intervention Provider Agency | 6143 186th St Ste 436, Fresh Meadows, NY 11365-2710 | 2020-10-09 |
| 1982211280 | Lisa Marie Smith | Pharmacist | 5409 S 60th Pl, Rogers, AR 72758-8230 | 2020-09-30 |
| 1710590757 | Lisa M Smith | Occupational Therapy Assistant | 920 Westacre Rd, West Sacramento, CA 95691-3224 | 2020-08-28 |
| 1013531060 | Lisa Marie Smith | Student in an Organized Health Care Education/Training Program | 1465 County Road 232, Collinsville, TX 76233 | 2020-06-05 |
| 1699300350 | Lisa Kathryn Smith | Registered Nurse | 7913 Lakeview Dr, Denver, NC 28037-9265 | 2020-03-03 |
| 1821637778 | Lisa Ann Smith | Dietitian, Registered | 522 10th St, Aplington, IA 50604-1073 | 2019-12-24 |
| 1700421450 | Lisa Marie Smith | Nurse Practitioner | 4353 Heyward St, North Port, FL 34291-4561 | 2019-11-16 |
| 1982168290 | Lisa Lynn Smith | Acupuncturist | 531 Central Park Avenue, Suite 304, Searsdale, NY 10583 | 2019-01-31 |
| 1649753120 | Lisa Lynn Smith | Occupational Therapist | 355 Dogwood South Ln, Haughton, LA 71037-8511 | 2018-09-11 |
| 1083193270 | Lisa Smith | Occupational Therapist | 243 Raspberry Rd, Leola, PA 17540-2215 | 2018-08-09 |
| Street Address |
17300 N. OUTER 40 STE 100 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063901254 | Ryan Hewkin | Chiropractor | 17684 Chesterfield Airport Road, Chesterfield, MO 63005 | 2018-05-03 |
| 1093224487 | All Family Matters, LLC | In Home Supportive Care | 100 Chesterfield Business Pkwy Ste 200, Chesterfield, MO 63005 | 2017-09-28 |
| 1437681293 | Emily Therese Harpel | Pharmacist | 691 Trade Center Blvd, Chesterfield, MO 63005 | 2017-03-31 |
| 1831543826 | Leslie Noel Chanasue | Family Medicine | 17701 Edison Ave Ste 101, Chesterfield, MO 63005 | 2016-04-16 |
| 1497112874 | Jordan Kimler | Nurse Practitioner | 124 Chesterfield Towne Ctr, Chesterfield, MO 63005 | 2016-01-15 |
| 1265850556 | Richard George Rougeau | General Practice | 17679 Wildridge Drive, Wildwood, MO 63005 | 2014-04-03 |
| 1679912554 | Ceara M Barmeier | Physician Assistant | 17300 N Outer 40 Rd #101, Chesterfield, MO 63005 | 2013-06-24 |
| 1265794911 | Regeneration Orthopedics, LLC | Anesthesiology | 6 Mcbride & Son Center Dr., Ste 204, Chesterfield, MO 63005 | 2012-06-08 |
| 1528334984 | Syed Tanveer Haider | Radiologic Technologist | 16502 Barrister Lane, Chesterfield, MO 63005 | 2012-03-29 |
| 1144591041 | Sensible Dental - Chesterfield | Dentist | 100 Thf Blvd., Chesterfield, MO 63005 | 2012-01-24 |
| Find all providers in zip 63005 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801443320 | St. Luke's Surgery Center of Chesterfield, LLC | Clinic/Center | 111 St. Luke's Center Drive, Bldg B, Suite 500, Chesterfield, MO 63017-3509 | 2019-08-20 |
| 1659339349 | West County Surgery Center Lp | Clinic/Center | 1130 Town and Country Commons, Chesterfield, MO 63017-8200 | 2006-05-02 |
| 1437512993 | United Skin Specialists Missouri Ltd, PC | Clinic/Center | 1001 Chesterfield Pkwy E, Suite 102, Chesterfield, MO 63017-2167 | 2016-04-01 |
| 1760869093 | Orthopedic Ambulatory Surgery Center of Chesterfield, LLC | Clinic/Center | 14825 North Outer Forty Road, Suite 100, Chesterfield, MO 63017 | 2015-05-06 |
| 1245566744 | Chesterfield Asc, LLC | Clinic/Center | 1001 Chesterfield Pkwy E, Suite 102, Chesterfield, MO 63017-2041 | 2009-10-19 |
| 1417142084 | Mid- America Surgery Center, LLC | Clinic/Center | 1815 Clarkson Road, Chesterfield, MO 63017-5065 | 2007-09-07 |
| 1922144484 | Interventional Pain Center of Chesterfield LLC | Clinic/Center | 17300 N Outer 40, 100, Chesterfield, MO 63005-1364 | 2007-01-30 |
| 1255373601 | Chesterfield Ambulatory Surgery Center Lp | Clinic/Center | 17050 Baxter Rd, Ste 110, Chesterfield, MO 63005-1422 | 2006-06-11 |
| 1346292372 | Surgery Center Partners. LLC | Clinic/Center | 14825 N Outer 40, Ste 100, Chesterfield, MO 63017-2026 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393130 | United Surgical Center, LLC | Clinic/Center | 638 Chamblee Ln, Creve Coeur, MO 63141-7323 | 2020-07-22 |
| 1255991238 | Lee Summit Asc Kc LLC | Clinic/Center | 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 | 2019-06-20 |
| 1467925180 | Metro St Louis Surgery Center LLC | Clinic/Center | 1035 Bellevue Ave Ste 117, Saint Louis, MO 63117-1854 | 2019-01-04 |
| 1295207587 | Commons South Surgery Center, LLC | Clinic/Center | 12345 W Bend Dr Ste 201, Saint Louis, MO 63128-2254 | 2018-12-26 |
| 1922574391 | The Phoenix Oversight and Consulting, LLC. | Clinic/Center | 7746 Rannells Ave, Saint Louis, MO 63143-1823 | 2018-10-23 |
| 1700363611 | Apollo Ambulatory Surgery Center, LLC | Clinic/Center | 10012 Manchester Rd, Saint Louis, MO 63122-1826 | 2018-07-24 |
| 1336649565 | Advanced Surgical Care of St. Louis, LLC | Clinic/Center | 232 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 | 2018-02-14 |
| 1730698374 | Advanced Surgical Center of Sunset Hills LLC | Clinic/Center | 4594 S Lindbergh Blvd, Saint Louis, MO 63127 | 2017-09-27 |
| 1093224297 | United Physicians Group, LLC | Clinic/Center | 1100 Town and Country Commons Dr # 7805, Town and Country, MO 63017-8285 | 2017-09-20 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 63005 |
Please comment or provide details below to improve the information on MRS. LISA J 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.