PETSY ANN SMITH (NPI# 1780757187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780757187 |
| Entity Type | Individual |
| Full Name | PETSY ANN SMITH |
| Other Name | PETSY ANN ELIZABETH KEPPLE- SMITH |
| Credential | NP |
| Practice Address |
24315 129th Ave Rosedale NY 11422-1007 |
| Mailing Address |
451 Clarkson Ave Kings County Hospiyal Medical Board Box 22 Brooklyn NY 11203-2057 |
| Practice Telephone | 7182453192 |
| Mailing Telephone | 9177718332 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F332902 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24315 129TH AVE |
| City | ROSEDALE |
| State | NY |
| Zip Code | 11422-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447791116 | Home Companion Services,inc. | In Home Supportive Care | 25311 147th Dr, Rosedale, NY 11422 | 2017-03-15 |
| 1508302779 | Rayne Shomo | Licensed Practical Nurse | 249-22 144th Ave, Rosedale, NY 11422 | 2017-01-12 |
| 1194277491 | Kettely Francois | Nurse Practitioner | 149-86 253 Rd Street, Rosedale, NY 11422 | 2016-11-03 |
| 1578019410 | Maureen Mckenzie | Registered Nurse | 241-25 148th Drive, Rosedale, NY 11422 | 2016-08-31 |
| 1386097657 | A Touch That Cares Home Services | Home Health | 13891 Francis Lewis Blvd, Rosedale, NY 11422 | 2016-07-21 |
| 1093160293 | Regine St. Leger | Registered Nurse | 128-07 236th Street, Rosedale, NY 11422 | 2016-04-26 |
| 1942664115 | Raising In The Sun, Ltd | Early Intervention Provider Agency | 257-04 149th Avenue, Rosedale, NY 11422 | 2016-04-13 |
| 1740656958 | Jaelle Jeudy | Licensed Practical Nurse | 243-59 Mayda Rd, Rosedale, NY 11422 | 2015-08-12 |
| 1851785380 | Elizabeth Madison Nutrition, Pllc | Clinic/Center | 13333 Brookville Boulevard, Suite 229c, Rosedale, NY 11422 | 2015-03-23 |
| 1659763894 | Leonard Barrett | Nutritionist | 220 01 Jamaica Av., Queens, NY 11422 | 2015-02-25 |
| Find all providers in zip 11422 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881209187 | Harmony Integrated Cares | Nurse Practitioner | 8757 Jarwood Rd, Rosedale, MD 21237-3867 | 2020-09-14 |
| 1215541537 | Misbah Naureen | Nurse Practitioner | 5108 King Ave, Rosedale, MD 21237-3327 | 2020-09-03 |
| 1962036558 | Kevin Lee Hair | Nurse Practitioner | 10490 N Us Highway 41, Rosedale, IN 47874-9126 | 2020-02-24 |
| 1366086605 | Lucy Abosi | Nurse Practitioner | 25704a Craft Ave, Rosedale, NY 11422-3011 | 2019-10-30 |
| 1114569571 | Shakira Hurst | Nurse Practitioner | 13410 245th St, Rosedale, NY 11422-1443 | 2019-10-16 |
| 1811469414 | Morenike Esther Agboola | Nurse Practitioner | 1232 Race Rd Ste 403, Rosedale, MD 21237-2386 | 2018-12-19 |
| 1376057646 | Farah Divers | Nurse Practitioner | 25953 148th Rd, Rosedale, NY 11422-2903 | 2017-11-25 |
| 1144765066 | Tracey Maria Rose | Nurse Practitioner | 25961 148th Ave, Rosedale, NY 11422-2901 | 2017-01-01 |
| 1194277491 | Kettely Francois | Nurse Practitioner | 149-86 253 Rd Street, Rosedale, NY 11422 | 2016-11-03 |
| 1609321181 | Fisayo Ogunyomi | Nurse Practitioner | 13727 246th St, Rosedale, NY 11422-1838 | 2016-08-24 |
| Find all providers in ROSEDALE | ||||
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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.