KEVIN LEE SMITH (NPI# 1790394310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790394310 |
| Entity Type | Individual |
| Full Name | KEVIN LEE SMITH |
| Practice Address |
97 Culp Dr Ridgeley WV 26753-7407 |
| Mailing Address |
Po Box 761 Fort Ashby WV 26719-0761 |
| Practice Telephone | 3048130153 |
| Mailing Telephone | 3048130153 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397495 | Kevin James Smith | Social Worker | 1076 E Rubicon Dr, Boise, ID 83716-5279 | 2019-07-08 |
| 1649831546 | Kevin Smith | Dentist | 5657 S Himalaya St Ste 270, Aurora, CO 80015-5310 | 2019-06-22 |
| 1992362875 | Kevin Gene Smith | Social Worker | 1293 Page Rd, Raleigh, NC 27603-7334 | 2019-05-25 |
| 1700314952 | Kevin Matthew Smith | Pediatrics | 715 Camino Catalina, Solana Beach, CA 92075-1631 | 2017-06-01 |
| 1124565759 | Kevin Smith | Driver | 530 Yates Ave, Calumet City, IL 60409-3119 | 2017-01-20 |
| 1487005047 | Kevin Smith | Massage Therapist | 19615 Se 342nd St, Auburn, WA 98092-1500 | 2016-06-24 |
| 1679929806 | Kevin Smith | Durable Medical Equipment & Medical Supplies | 76 Birchmount Cir, West Henrietta, NY 14586-9452 | 2016-05-06 |
| 1871998716 | Kevin Michael Smith | Physical Therapist | 15 Corporate Plaza Dr Ste 130, Newport Beach, CA 92660-7940 | 2014-11-04 |
| 1144646993 | Kevin Smith | Occupational Therapist | 322 Pillings Pond Rd, Lynnfield, MA 01940-1345 | 2014-03-17 |
| 1457797920 | Kevin Smith | Veterinarian | 3270 Richmond Rd, Lexington, KY 40509-1811 | 2013-05-10 |
| Street Address |
97 CULP DR |
| City | RIDGELEY |
| State | WV |
| Zip Code | 26753-7407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750993697 | Peggy Trenter | Technician | 97 Culp Dr, Ridgeley, WV 26753-7407 | 2020-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183758 | Wright Charles Wilson | Technician | 2013 Greene Gables, Ridgeley, WV 26753 | 2020-10-28 |
| 1669083549 | Margaret E Lindner | Technician | 1246 Scenic Lane, Ridgeley, WV 26753 | 2020-08-13 |
| 1396227112 | Appalachian Mountain of Hope, Inc. | Nurse Practitioner | 41 Hunt Club Plaza, Ridgeley, WV 26753 | 2018-08-29 |
| 1124347463 | Leah Marie Lambka | Physical Therapy Assistant | Rr 2 Box 449, Ridgeley, WV 26753 | 2010-05-26 |
| 1962515387 | Mollie L. Altobello | Physical Therapist | 4767 Frankfort Highway, Ridgeley, WV 26753 | 2006-08-17 |
| 1881693166 | Short Gap Volunteer Fire Company | Ambulance | 128 Knobley Road, Ridgeley, WV 26753 | 2005-07-19 |
| 1689673030 | Ridgeley Volunteer Fire Company, Inc | Ambulance | 67 Potomac Street, Ridgeley, WV 26753 | 2005-07-19 |
| 1841387859 | Alvin Thomas Benson | Dentist | 57 Potomac Street, Ridgeley, WV 26753-0613 | 2006-10-10 |
| 1447865324 | Paige Bunner | Technician | 30 Sites Dr, Ridgeley, WV 26753-1800 | 2020-09-09 |
| 1386254357 | Susan Violet Johnson | Technician | 28 Sites Dr, Ridgeley, WV 26753-1800 | 2020-08-05 |
| Find all providers in zip 26753 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386605 | Samantha Faye Oscar | Technician | 279 Roy Dr, Ridgeley, WV 26753-9451 | 2020-11-06 |
| 1770183758 | Wright Charles Wilson | Technician | 2013 Greene Gables, Ridgeley, WV 26753 | 2020-10-28 |
| 1750980900 | Michelle Simmons | Technician | 1008 Greene Gables Ct, Ridgeley, WV 26753-7390 | 2020-10-20 |
| 1447865324 | Paige Bunner | Technician | 30 Sites Dr, Ridgeley, WV 26753-1800 | 2020-09-09 |
| 1689288425 | James Eldon Hott | Technician | 827 Long Rd, Ridgeley, WV 26753-7745 | 2020-08-31 |
| 1972115756 | Kourtney Browning | Technician | 349 Knobley Rd, Ridgeley, WV 26753-7383 | 2020-08-21 |
| 1669083549 | Margaret E Lindner | Technician | 1246 Scenic Lane, Ridgeley, WV 26753 | 2020-08-13 |
| 1386254357 | Susan Violet Johnson | Technician | 28 Sites Dr, Ridgeley, WV 26753-1800 | 2020-08-05 |
| 1942810163 | Carol Jean Dawson | Technician | 98 S Robin Dr, Ridgeley, WV 26753-7158 | 2020-08-03 |
| 1285249169 | Nona Patton | Technician | 349 Knobley Rd, Ridgeley, WV 26753-7383 | 2020-09-09 |
| Find all providers in RIDGELEY | ||||
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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.