MS. KATHLEEN MARIE SMITH (NPI# 1821593138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821593138 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN MARIE SMITH |
| Credential | RN, MSN, AGPCNP-BC |
| Practice Address |
44456 Brookside Rd Plymouth MI 48170-3848 |
| Practice Telephone | 7344593350 |
| Mailing Telephone | 7344593350 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704176927 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704176927 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704176927 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528615184 | Kathleen Smith | Nurse Practitioner | 601 Channelside Walk Way Apt 1438, Tampa, FL 33602-6741 | 2019-08-19 |
| 1750869970 | Kathleen Helen Smith | Community/Behavioral Health | 27 Wildwood, Irvine, CA 92604-3341 | 2018-07-31 |
| 1700386588 | Kathleen Marie Smith | Registered Nurse | 14289 Burnt Mls, Willis, TX 77318-6791 | 2018-02-18 |
| 1851750160 | Kathleen Christensen Smith | Acupuncturist | 10 S Hanson St Ste 27, Easton, MD 21601-3078 | 2016-02-15 |
| 1992109755 | Kathleen W. Smith | Nurse Practitioner | 900 Main Street Suite 280, Peoria, IL 61636-4688 | 2014-10-22 |
| 1861895534 | Kathleen Ann Smith | Pharmacist | 243 S. Prospect St., Nanticoke, PA 18634 | 2014-10-08 |
| 1427334408 | Kathleen Ann Smith | Social Worker | 2239 Nw 19th St, Oklahoma City, OK 73107-3542 | 2011-10-22 |
| 1326323882 | Kathleen Lesh Smith | Massage Therapist | 16306-b Hwy. 84, Chama, NM 87520 | 2011-10-17 |
| 1558675116 | Kathleen H Smith | Pharmacist | 1920 E Beau St, Washington, PA 15301-3188 | 2010-08-05 |
| 1760707764 | Kathleen Smith | Registered Nurse | 14 Shorehaven Blvd, Lake Ronkonkoma, NY 11779-2719 | 2010-04-01 |
| Street Address |
44456 BROOKSIDE RD |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-3848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306088265 | Lacey Lyn Schafer | Nurse Practitioner | W9071 Forest Dr, Plymouth, WI 53073 | 2009-03-24 |
| 1285879387 | Karen V Hebshie-bishop | Nurse Practitioner | 47 Obery St Ste 1a, Plymouth, MA 02360-2230 | 2008-12-04 |
| 1205896511 | Polly A Nesset | Nurse Practitioner | 15700 37th Ave N Ste 300, Plymouth, MN 55446-3661 | 2006-03-23 |
| 1568431583 | Anna Joyce Kennel | Nurse Practitioner | 2505 Oak Rd, Plymouth, IN 46563-9757 | 2006-03-14 |
| 1912360223 | Dina Khaled | Nurse Practitioner | 15700 37th Ave N Ste 300, Plymouth, MN 55446-3661 | 2016-04-04 |
| 1629444690 | Haven Home Physicians, PC | Nurse Practitioner | 408 S Main St, Plymouth, MI 48170-1709 | 2015-08-13 |
| 1942637434 | Barbara Greenwell | Nurse Practitioner | 101 Boulder Point Dr Ste 1, Plymouth, NH 03264-3170 | 2013-09-30 |
| 1811320997 | Katharine Schmid | Nurse Practitioner | 116 Court St, Plymouth, MA 02360-8710 | 2013-08-13 |
| 1265878987 | Casey C O'boyle | Nurse Practitioner | 45 Resnik Rd, Suite 202, Plymouth, MA 02360-4844 | 2013-05-21 |
| 1407100357 | Kathleen Powers Graham | Nurse Practitioner | 15700 37th Ave N Ste 300, Plymouth, MN 55446-3661 | 2012-10-30 |
| Find all providers in PLYMOUTH | ||||
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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.