MRS. KIMBERLY MICHAELLE SMITH (NPI# 1811230493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811230493 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY MICHAELLE SMITH |
| Credential | MHS, PA-C |
| Practice Address |
2315 Stockton Blvd Rm 6312 Sacramento CA 95817 |
| Mailing Address |
2942 Weald Way Apt 2414 Sacramento CA 95833-3570 |
| Practice Telephone | 9193680082 |
| Mailing Telephone | 9193680082 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2018-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
101542 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496443 | Kimberly A Smith | Counselor | 2764 Teakwood Ln, Plano, TX 75075-9100 | 2020-10-30 |
| 1437703212 | Kimberly L Smith | Massage Therapist | 2707 Silesia Ln Apt C, Bellingham, WA 98226-3664 | 2019-07-30 |
| 1831651298 | Kimberly A Smith | Hearing Instrument Specialist | 954 E Main St, Chillicothe, OH 45601-2844 | 2019-04-04 |
| 1467916437 | Kimberly Alicia Smith | Family Medicine | 4000 Mitchellville Rd Ste A308, Bowie, MD 20716-3135 | 2019-01-24 |
| 1891296901 | Kimberly Diane Smith | Acupuncturist | 11110 Ohio Ave Ste 105, Los Angeles, CA 90025-6345 | 2018-02-23 |
| 1184140881 | Kimberly Denise Smith | Peer Specialist | 720 14th Ave Fl 2, Longview, WA 98632-2315 | 2017-08-15 |
| 1285164897 | Kimberly Smith | Contractor | 2607 Lakebriar St, San Antonio, TX 78222 | 2017-06-15 |
| 1912458092 | Kimberly Grace Smith | Speech-Language Pathologist | 220 Lincoln Pl, Apt 2f, Brooklyn, NY 11217-3761 | 2016-10-24 |
| 1922553171 | Kimberly Smith | Licensed Practical Nurse | 4432 Drexel St, Detroit, MI 48215-3346 | 2016-08-17 |
| 1144673476 | Kimberly B. Smith | Speech-Language Pathologist | 39341 Jason St, Prairieville, LA 70769-4614 | 2016-07-21 |
| Street Address |
2315 STOCKTON BLVD RM 6312 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972651644 | Joan Collette Wolf | Physician Assistant | 20025 Morse Ave Suite 2e, Sacramento, CA 95825 | 2007-01-08 |
| 1336200427 | Judi Price | Physician Assistant | Kaiser Permanente Dept of Orthopedics, 2025 Morse Ave, Sacramento, CA 95825 | 2006-12-12 |
| 1205900792 | Jennifer L Bowman | Physician Assistant | 3939 J Street, Suite 320, Sacramento, CA 95819 | 2006-11-17 |
| 1699737361 | Michael Patrick Reising | Physician Assistant | 3424 Trio Ln, Sacramento, CA 95817-2071 | 2006-04-06 |
| 1689233256 | Jack Wilbur Jones IIi | Physician Assistant | 2825 Capitol Ave, Sacramento, CA 95816-6039 | 2019-06-07 |
| 1801361571 | Jaymie Dee Pearcy | Physician Assistant | 1430 22nd St, Sacramento, CA 95816-5708 | 2018-10-09 |
| 1326527045 | Keith Allen Jackson | Physician Assistant | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2018-08-13 |
| 1467958827 | Logan Scherer | Physician Assistant | 555 Capitol Mall Ste 570, Sacramento, CA 95814-4502 | 2018-04-04 |
| 1215329396 | Bernadette Hystad | Physician Assistant | 2221 Stockton Blvd, 2112, Sacramento, CA 95817-1418 | 2015-02-26 |
| 1457759359 | Kimberly Ward | Physician Assistant | 3301 C St, Bldg 550, Sacramento, CA 95816-3300 | 2014-12-09 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
Please comment or provide details below to improve the information on MRS. KIMBERLY MICHAELLE 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.