MS. BRENDA ANN SMITH (NPI# 1780207043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780207043 |
| Entity Type | Individual |
| Full Name | MS. BRENDA ANN SMITH |
| Credential | APRN |
| Practice Address |
10189 Chestnut Oak Dr Independence KY 41051-8805 |
| Practice Telephone | 8596638670 |
| Mailing Telephone | 8596638670 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
57059 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487168142 | Brenda G Smith | Massage Therapist | 1545 E Iron Eagle Dr Ste 103, Eagle, ID 83616-7079 | 2017-11-16 |
| 1538570999 | Brenda Smith | Student in an Organized Health Care Education/Training Program | 4404 Epperly Dr, Del City, OK 73115-3730 | 2014-05-19 |
| 1447678081 | Brenda Smith | Nurse Practitioner | 16365 Cottage Grove Ave, South Holland, IL 60473-2366 | 2014-04-01 |
| 1467873901 | Brenda Smith | Occupational Therapy Assistant | 2290 Crow Creek Rd, Bettendorf, IA 52722-2096 | 2013-12-31 |
| 1164843330 | Brenda Ariel Smith | Counselor | 3600 S Beeler St Ste 340, Denver, CO 80237-1801 | 2013-12-13 |
| 1730425307 | Brenda Gayle Smith | Clinical Nurse Specialist | 20 Hawkins St Apt G, Dahlonega, GA 30533-1154 | 2012-12-29 |
| 1336491414 | Brenda R Smith | Counselor | 17596 Davis Rd, Georgetown, DE 19947-4427 | 2012-10-12 |
| 1770809931 | Brenda Leigh Smith | Registered Nurse | 7145 W Yucca St, Peoria, AZ 85345-5844 | 2010-04-13 |
| 1841527686 | Brenda G Smith | Nurse Practitioner | 1124 N. Broadway, Knoxville, TN 37917 | 2009-11-16 |
| 1427228329 | Brenda Carol Smith | Specialist | 1800 Fair Oaks Ave # C, South Pasadena, CA 91030-4776 | 2008-03-06 |
| Street Address |
10189 CHESTNUT OAK DR |
| City | INDEPENDENCE |
| State | KY |
| Zip Code | 41051-8805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738741 | Tina Hacker | Counselor | Crossroads Treatment Centers, 1974 Walton Nicholson Rd, Independence, KY 41051 | 2020-10-26 |
| 1942844972 | Shelby Cuellar | Chiropractor | 2051 Centennial Boulevard, Independence, KY 41051 | 2019-11-02 |
| 1811246242 | Independence Chiropractic, Inc. | Chiropractor | 1922 Walton Nichoolson Road, Independence, KY 41051 | 2012-08-30 |
| 1356627269 | Nina Carmen Brock | Home Health | 593 Berlander Dr, Independence, KY 41051 | 2011-10-25 |
| 1508000951 | Independence Urgent Care LLC | Clinic/Center | 2025 Declaration Drive, Independence, KY 41051 | 2009-04-29 |
| 1710009436 | Ashley Joseph Moser | Dentist | 2047 Centennial Blvd, Independence, KY 41051 | 2007-04-04 |
| 1558497388 | Occupational Health Centers of The Southwest, P.a., P.s.c. | Clinic/Center | 10110 Toebben Drive, Enterprise V Park, Independence, KY 41051 | 2007-02-26 |
| 1982758736 | Janice Ann Struckhoff | Dentist | 1986 Walton Nicholson Pike, Independence, KY 41051 | 2007-01-22 |
| 1265509061 | Regency Manor LLC | Assisted Living Facility | 11725 Madison Pike, Independence, KY 41051 | 2006-11-29 |
| 1588629463 | John Franklin Allnutt | Family Medicine | 5290 Madison Pike, Ste 100, Independence, KY 41051 | 2006-04-20 |
| Find all providers in zip 41051 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235268863 | Andrew Sharp | Nurse Practitioner | 304 West 4th Street, Independence, LA 70443 | 2007-03-02 |
| 1619575677 | Samantha Jo Rieger | Nurse Practitioner | 2349 Jamestown Ave Ste 1, Independence, IA 50644-9709 | 2020-10-13 |
| 1417508375 | Carly Goldbeck | Nurse Practitioner | 2277 Iowa Ave, Independence, IA 50644-9106 | 2019-09-23 |
| 1255992764 | Sarah Wright | Nurse Practitioner | 17844 E 23rd St S, Independence, MO 64057-1840 | 2019-06-25 |
| 1700447711 | Nia Betton | Nurse Practitioner | 4700 Rockside Rd Ste 100, Independence, OH 44131-2148 | 2019-06-21 |
| 1659836484 | Traci Lynn Wentz | Nurse Practitioner | 17844 E 23rd St S, Independence, MO 64057-1840 | 2019-02-06 |
| 1124565668 | Linda Robinette | Nurse Practitioner | 3751 W Main St, Independence, KS 67301-8446 | 2017-01-23 |
| 1679925747 | Cassandra Skul | Nurse Practitioner | 4700 Rockside Rd, Suite 100, Independence, OH 44131-2155 | 2016-07-12 |
| 1174876494 | Mona Habib | Nurse Practitioner | 4721 S Cliff Ave, Suite 201, Independence, MO 64055-7016 | 2012-10-24 |
| 1942572540 | Chynwe Celestine Ahumaraeze | Nurse Practitioner | 17844 E 23rd St S, Independence, MO 64057-1840 | 2012-01-30 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 41051 |
Please comment or provide details below to improve the information on MS. BRENDA ANN 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.