MRS. DIANE CARMELLA SMITH


Address: Bldg. 19h, Medical Service, 111, Avenue D, Perry Point, MD 21902
Phone: 4106422411

MRS. DIANE CARMELLA SMITH (NPI# 1780760736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780760736
Entity Type Individual
Full Name MRS. DIANE CARMELLA SMITH
Credential CRNP
Practice Address Bldg. 19h, Medical Service, 111, Avenue D
Perry Point
MD 21902
Mailing Address 107 Spring Lake Way
Havre De Grace
MD 21078-1616
Practice Telephone 4106422411
Practice Fax Number 4106421898
Mailing Telephone 4109395511
Enumeration Date 2006-10-31
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
RO37786 MD Physician Assistants & Advanced Practice Nursing Providers

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1942604350 Diane Smith Occupational Therapist 5188 Bella Collina St, Oceanside, CA 92056-1908 2014-10-14
1114340734 Diane Marie Smith Licensed Practical Nurse 7720 S Boyden Rd, Sagamore Hills, OH 44067-2431 2014-02-03
1417214438 Diane Ruth Smith Midwife 22 Gateview Dr, Fallbrook, CA 92028-9232 2012-04-16
1760755953 Diane Katherine Smith Chiropractor 8977 Comstock Ln N, Maple Grove, MN 55311-1521 2012-02-17
1265720676 Diane Felton Smith Private Vehicle 206 N Lake Dr, Apt.601, Warner Robins, GA 31093-1691 2011-07-19
1841502804 Diane Jean Smith Nurse Practitioner 280 Melrose St., Name: Concentra, Providence, RI 02901 2010-07-07
1578893905 Diane Smith Developmental Therapist 15 Beech St, Farmingdale, ME 04344-1603 2010-01-07

Office Location

Street Address BLDG. 19H, MEDICAL SERVICE, 111, AVENUE D
City PERRY POINT
State MD
Zip Code 21902

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699373159 Daniel Vigus Recreation Therapist 59 Ave D, Perry Point, MD 21902 2020-10-15
1407471758 Amanda Dawn Morris Optometrist Perry Point Va Medical Center - Va Maryland Health Care, Perry Point, MD 21902 2020-06-12
1639672835 Sarah Nicole Cassatt Dietitian, Registered Perry Point Va Medical Center Avenue D & 8th St, Perry Point, MD 21902 2018-03-14
1669981809 Kristyn Sanders Social Worker Avenue D & 8th St., Perry Point, MD 21902 2017-09-20
1093250342 Maria Elana Bergeron Nurse Practitioner Bldg 25 Perry Point Va Medical Center, Perry Point, MD 21902 2016-12-22
1124572037 Jonathan Raymond Physical Therapist Avenue D & 8th St, Perry Point, MD 21902 2016-08-09
1528435732 Stanley Prochaska Jr. Nurse Practitioner 1 Avenue D, Perryville, MD 21902 2015-08-24
1346665437 Doreen Carole Rupp Social Worker Avenue D, Building 19h, 244, Perry Point, MD 21902 2014-02-26
1457604944 Justin Colin Everson Internal Medicine Building 19h, Room 270, Perry Point Va Medical Center, Perry Point, MD 21902 2012-10-21
1104198779 Ashley Abell Carroll Social Worker 2h Circle Drive, Perry Point Veterans Affairs Medical Center, Perry Point, MD 21902 2012-01-30
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245293638 Marilyn Joyce Miller Nurse Practitioner Medical Center, Bldg 80, Ave D, Perry Point, MD 21902 2006-04-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346841236 Golden Oasis Healthcare Services LLC Nurse Practitioner 333 Old Line Ave, Laurel, MD 20724-2407 2020-11-05
1225636558 Agnprx LLC Nurse Practitioner 5543 Bonnie Brook Rd, Cambridge, MD 21613-3437 2020-10-09
1417563891 Barbara Katarzyna Wawryszyn Nurse Practitioner 12 Brook Farm Ct Unit E, Perry Hall, MD 21128-9042 2020-09-21
1659981728 Jamie Briddell Nurse Practitioner 250 N Calvert St, Baltimore, MD 21202-3505 2020-08-04
1881202570 Jisha S Varghese Nurse Practitioner 3257 Ramblewood Rd, Ellicott City, MD 21042-2445 2020-07-19
1710505524 Jillian E Haney Nurse Practitioner 208 Plumtree Rd Ste C, Bel Air, MD 21015-6058 2020-07-08
1164040200 Srkite Associates Nurse Practitioner 8 Sudbrook Ln Ste 1a, Pikesville, MD 21208-4132 2020-07-06
1447877279 Katherine O'bryan Nurse Practitioner 176 Thomas Johnson Dr Ste 103, Frederick, MD 21702-4529 2020-06-27
1790300903 Hall Diabetes Management and Resource Center PC Nurse Practitioner 1900 E Northern Pkwy Ste T1, Baltimore, MD 21239-2120 2020-06-12
1376162362 Thomas Nemer II Nurse Practitioner 2225 Old Emmorton Rd Ste 111, Bel Air, MD 21015-6122 2020-04-10
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Competitor

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City PERRY POINT
Zip Code 21902

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Dataset Information

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.

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