BLAKE SMITH (NPI# 1760718282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760718282 |
| Entity Type | Individual |
| Full Name | BLAKE SMITH |
| Practice Address |
80 Enoch Blvd Savannah TN 38372 |
| Mailing Address |
3285 Oakley Rd Savannah TN 38372-3807 |
| Practice Telephone | 7319269600 |
| Mailing Telephone | 7316981061 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN0000161004 | TN | Nursing Service Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
24523 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780927269 | Blake Robert Smith | Otolaryngology | 3650 Steve Reynolds Blvd Dept Of, Duluth, GA 30096-4506 | 2013-04-03 |
| 1952591398 | Blake E Smith | Optometrist | 4612 S Coulter St, Amarillo, TX 79119-6403 | 2007-08-01 |
| 1649839317 | Blake Edward Smith | Counselor | 10564 Se Washington St, Portland, OR 97216-2809 | 2019-06-06 |
| 1275089609 | Blake Smith | Specialist | 2630 W Rumble Rd, Modesto, CA 95350-0155 | 2016-08-26 |
| 1639547904 | Blake Eric Smith | Occupational Therapy Assistant | 169 Valentine Rd, Pittsfield, MA 01201-3042 | 2015-09-03 |
| 1770979221 | Blake Gaither Smith | Student in an Organized Health Care Education/Training Program | 625 19th Street South, Birmingham, AL 35249 | 2015-04-11 |
| 1093132631 | Blake Andre Smith | Physician Assistant | 2854 Bell St, Zanesville, OH 43701-1721 | 2014-03-20 |
| 1881031946 | Blake Daniel Smith | Dentist | 2600 Bemidji Ave N, Bemidji, MN 56601-2324 | 2013-05-30 |
| 1518192533 | Blake Allen Smith | Psychiatry & Neurology | 4805 Montgomery Rd, Suite 410, Cincinnati, OH 45212-2198 | 2009-05-19 |
| 1760512966 | Blake Andrew Smith | Emergency Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2007-03-06 |
| Street Address |
80 ENOCH BLVD |
| City | SAVANNAH |
| State | TN |
| Zip Code | 38372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386790129 | Derrick Brent Galapon | Surgery | 80 Enoch Blvd, Savannah, TN 38372-2231 | 2007-01-26 |
| 1104228527 | Matthew King | Nurse Practitioner | 80 Enoch Blvd, Savannah, TN 38372-2231 | 2014-09-17 |
| 1477870350 | Charlynn Johnson | Nurse Practitioner | 80 Enoch Blvd, Savannah, TN 38372-2231 | 2010-04-30 |
| 1376754192 | Barry J Hennessey | Orthopaedic Surgery | 80 Enoch Blvd, Suite B, Savannah, TN 38372-2231 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282950 | Sherry Ann Schoonover | Pharmacist | 175 Ji Bell Lane, Savannah, TN 38372 | 2018-04-15 |
| 1538671631 | Qualls Harbin Family Medicine LLC | Nurse Practitioner | 255 Riverside Drive, Savannah, TN 38372 | 2017-10-30 |
| 1912215500 | John D. Lay Md | Family Medicine | 855 Wayne Rd Ste B, Savannah, TN 38372 | 2010-09-17 |
| 1285942144 | David Allen Carroll | Pharmacist | 835 Pickwick Street, Savannah, TN 38372 | 2010-09-14 |
| 1972810349 | Teresa Carol Williams | Pharmacist | Kroger At 775 Pickwick Rd, Savannah, TN 38372 | 2010-09-08 |
| 1619128089 | Robert L. Ginn | Dietitian, Registered | 935 Wayne Rd., Savannah, TN 38372 | 2008-10-03 |
| 1821246786 | Delca Sue Rickman | Social Worker | 765 Florence Rd., Savannah, TN 38372 | 2008-09-04 |
| 1215119102 | Grimes - Bevis Chiropractic, Pllc | Chiropractor | 1940 Pickwick St., South, Savannah, TN 38372 | 2007-12-03 |
| 1851593594 | Melanie A Reaves Pllc | Nurse Practitioner | 1440 Pickwick St, Savannah, TN 38372 | 2007-06-04 |
| 1730300690 | William F. Conway, Md, Inc | Internal Medicine | 855 Wayne Road, Suite A1, Savannah, TN 38372 | 2007-05-01 |
| Find all providers in zip 38372 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841819547 | Millicent Charte Duncan | Nurse Practitioner | 138 Parkview Rd, Savannah, GA 31419-9672 | 2020-04-13 |
| 1104348523 | Helen Machelle Skinner | Nurse Practitioner | 803 Us Hwy 71, Savannah, MO 64485 | 2017-07-07 |
| 1306386560 | Toni Samuel | Nurse Practitioner | 1050 Carl Griffin Dr, Savannah, GA 31405-1327 | 2017-03-06 |
| 1558902726 | Kristine Trunzo | Nurse Practitioner | 1352 Eisenhower Dr, Savannah, GA 31406-3902 | 2019-09-30 |
| 1104228527 | Matthew King | Nurse Practitioner | 80 Enoch Blvd, Savannah, TN 38372-2231 | 2014-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982658 | Kirsten Marie Doerfer | Nurse Practitioner | 8512 Golden Cloud Ln, Knoxville, TN 37931-3164 | 2020-11-06 |
| 1912506551 | Anna Simpson Jones | Nurse Practitioner | 1042 E 3rd St Ste 103, Chattanooga, TN 37403-2161 | 2020-10-24 |
| 1033724349 | Tatum Lee Severino I | Nurse Practitioner | 8819 Three Chimneys Dr E, Germantown, TN 38138-8206 | 2020-09-14 |
| 1871106930 | Munira Asif | Nurse Practitioner | 874 Schilling Farm Rd Apt 106, Collierville, TN 38017-7039 | 2020-08-28 |
| 1669000840 | Tekeyla Warfield | Nurse Practitioner | 2980 Poplar Ave, Memphis, TN 38111-3527 | 2020-04-01 |
| 1578197836 | Jessica Pratt | Nurse Practitioner | 512 Marbury Rd, Tullahoma, TN 37388-2142 | 2020-02-26 |
| 1730729278 | Anna Abigail Markus | Nurse Practitioner | 211 Long Branch Rd, Lawrenceburg, TN 38464-5400 | 2020-01-13 |
| 1023653037 | Staci Garner | Nurse Practitioner | 2508 Highway 130, Petersburg, TN 37144-8001 | 2019-11-13 |
| 1881238533 | Janna Rae Haskins | Nurse Practitioner | 5137 Vinnie Dell Drive, Chapel Hill, TN 37034 | 2019-11-05 |
| 1124676325 | Marde M Walker | Nurse Practitioner | 8225 Highway 51 North, Millington, TN 38053 | 2019-08-30 |
| 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.