KELLI ANN SMITH (NPI# 1760881809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760881809 |
| Entity Type | Individual |
| Full Name | KELLI ANN SMITH |
| Credential | PHARMD |
| Practice Address |
4122 Autumn Crest Dr Hamilton MI 49419-9119 |
| Practice Telephone | 6162185838 |
| Mailing Telephone | 6162185838 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302039876 | MI | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PHARMACISTS LICENSE | 5302039876 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710537253 | Kelli Marie Smith | Nurse Practitioner | 401 S Fifth St, Lynch, NE 68746-3013 | 2019-09-17 |
| 1972028215 | Kelli Smith | Counselor | 2001 W Plano Pkwy Ste 1400, Plano, TX 75075-8607 | 2017-08-08 |
| 1891157400 | Kelli Marie Smith | Student in an Organized Health Care Education/Training Program | 401 Quarry Rd # Mc5723, Palo Alto, CA 94304-1419 | 2016-03-23 |
| 1154580983 | Kelli S. Smith | Physical Therapist | 1116 Halsell St, Bridgeport, TX 76426-3000 | 2008-06-06 |
| 1932382637 | Kelli Smith | Clinical Nurse Specialist | 43 Brookfield Cir, Framingham, MA 01701-4036 | 2007-12-17 |
| 1235119843 | Kelli L Smith | Physical Therapist | 259 Melbourne Ave, Akron, OH 44313-6574 | 2006-01-19 |
| 1326035148 | Kelli Pugh Smith | Audiologist | 901 Enterprise Pkwy Ste 300, Hampton, VA 23666-6249 | 2005-10-06 |
| 1831196203 | Kelli Gay Smith | Audiologist | 11685 Alpharetta Hwy, Ste 360, Roswell, GA 30076-4982 | 2005-06-30 |
| 1144868506 | Kelli Marie Smith | Case Manager/Care Coordinator | 6100 S Walker Ave, Oklahoma City, OK 73139-7026 | 2019-12-17 |
| 1467002360 | Kelli Smith | Physical Therapist | 3046 Columbia Ave Ste 108, Franklin, TN 37064-7439 | 2019-09-13 |
| Street Address |
4122 AUTUMN CREST DR |
| City | HAMILTON |
| State | MI |
| Zip Code | 49419-9119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871789347 | Dr Gordon L Roberts Pllc | Chiropractor | 3426 M-40, Hamilton, MI 49419 | 2007-09-19 |
| 1295899110 | Michigan Medical, PC. | Durable Medical Equipment & Medical Supplies | 3362 Lincoln Rd. M40, Hamilton, MI 49419 | 2006-12-22 |
| 1457368417 | Lindsey Joy Kerber | Physical Therapy Assistant | 3941 M 40, Hamilton, MI 49419 | 2006-08-02 |
| 1437174273 | Gordon Lee Roberts | Chiropractor | 3494 M-40, Hamilton, MI 49419 | 2006-07-13 |
| 1003841305 | John Frederick Heyerman | Physical Therapist | 3491 M40, Hamilton, MI 49419 | 2006-07-12 |
| 1366477663 | Katie Jo Homkes | Physical Therapy Assistant | 3491 M-40, Hamilton, MI 49419 | 2006-07-12 |
| 1730114034 | Robert Dale Nye | Occupational Therapist | 3491 Lincoln Rd., Hamilton, MI 49419 | 2006-07-12 |
| 1770763583 | Benjamin H Wickstra | Dentist | 3494 Lincoln Rd, Hamilton Medical Center, Hamilton, MI 49419 | 2007-11-08 |
| 1275540494 | Rebecca Sue Childress | Occupational Therapist | 3491 Lincoln Rd, Hamilton, MI 49419 | 2006-08-01 |
| 1801802301 | Mark Alan Hoffmeyer | Physical Therapist | 3491 Lincoln Rd., Hamilton, MI 49419 | 2006-08-01 |
| Find all providers in zip 49419 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104391911 | Grace Atadero | Pharmacist | 258 East 37th Street, Hamilton, ONTARIO L8V 4B3 | 2018-10-08 |
| 1033626783 | Matthew Willoughby | Pharmacist | 7655 Shadow Creek Dr, Hamilton, OH 45011-6517 | 2018-01-03 |
| 1699226035 | Eunchan Lee | Pharmacist | 1205 Klockner Rd Apt 37, Hamilton, NJ 08619-3619 | 2016-10-20 |
| 1740642149 | Katherine Grace Messer | Pharmacist | 704 S 3rd St, Hamilton, MT 59840 | 2016-03-24 |
| 1033575717 | David Hamilton Cleveland | Pharmacist | 105 E Henry St, Hamilton, TX 76531-1909 | 2016-01-11 |
| 1942692231 | Lori Shinton | Pharmacist | 5420 Libery Fairfield Rd, Hamilton, OH 45011-2680 | 2015-02-24 |
| 1821480120 | Jennifer Heeg | Pharmacist | 1474 Hamilton Richmond Rd, Hamilton, OH 45013-1074 | 2015-02-23 |
| 1003232984 | Robert Joseph Baars | Pharmacist | 1235 N 1st St, Hamilton, MT 59840-3102 | 2014-03-14 |
| 1942630280 | Jill Hood | Pharmacist | 5486 Edisto Dr, Hamilton, OH 45011-4379 | 2013-11-23 |
| 1699049585 | John Henry Opryshek | Pharmacist | 3415 Fm 221, Hamilton, TX 76531-3525 | 2012-02-24 |
| Find all providers in HAMILTON | ||||
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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.