SEAN SMITHAM (NPI# 1861546129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861546129 |
| Entity Type | Individual |
| Full Name | SEAN SMITHAM |
| Credential | PHD |
| Practice Address |
3124 S Regal St Spokane WA 99223-4704 |
| Mailing Address |
Po Box 112 Spokane WA 99210-0112 |
| Practice Telephone | 5094646208 |
| Practice Fax Number | 8883161928 |
| Mailing Telephone | 5094646208 |
| Mailing Fax Number | 8883161928 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2019-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PY00003757 | WA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY00003757 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2061707 | 05 |
| Street Address |
3124 S REGAL ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99223-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952334195 | Ghassan S Nemri | Anesthesiology | 3124 S Regal St, Spokane, WA 99223-4704 | 2006-07-09 |
| 1710537667 | Michelle Brothers | Nurse Practitioner | 3124 S Regal St, Spokane, WA 99223-4704 | 2019-09-12 |
| 1053856443 | Ashley Ann Baggott | Nurse Practitioner | 3124 S Regal St, Spokane, WA 99223-4704 | 2016-12-21 |
| 1689059164 | Andrew Michael Garten | Physician Assistant | 3124 S Regal St, Spokane, WA 99223-4704 | 2015-07-24 |
| 1962898403 | Xiang Jing | Nurse Practitioner | 3124 S Regal St, Spokane, WA 99223-4704 | 2015-04-10 |
| 1366712796 | David W Springer | Physical Therapist | 3124 S Regal St, Spokane, WA 99223-4704 | 2012-01-02 |
| 1669789228 | Northwest Spine and Pain Medicine, Pllc | Clinic/Center | 3124 S Regal St, Spokane, WA 99223-4704 | 2010-09-02 |
| 1730264334 | Pamela M. Clark | Psychologist | 3124 S Regal St, Spokane, WA 99223-4704 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790253110 | The Anna Schindler Foundation Inc | Lodging | 2322 E 28th Ave, Spokane, WA 99223 | 2018-11-03 |
| 1174018113 | Taylor Bryant Etchart | Massage Therapist | 7040, 3209 E 57th Ave, Suite H, Spokane, WA 99223 | 2018-06-22 |
| 1366958415 | Jennifer Andrea Meroshnik | Massage Therapist | 3210 East 44th Ave, F301, Spokane, WA 99223 | 2017-12-26 |
| 1982060539 | Andrew John David Bingham | Nurse's Aide | 4202 S Regal St, Spokane, WA 99223 | 2016-01-12 |
| 1396118469 | Kerry Lee Traugott | Nurse Practitioner | 2405 E 17th Ave, Suite 113, Spokane, WA 99223 | 2015-11-11 |
| 1518335082 | Thomas Genthe | Psychologist | 5619 South Custer Rd., Spokane, WA 99223 | 2015-09-14 |
| 1346630035 | Inland Empire Therapy Associates | Occupational Therapist | 2527 E. 27th, Suite 100, Spokane, WA 99223 | 2015-02-02 |
| 1396080743 | Karin Lee Gilchrist | Dietitian, Registered | 3019 S. Lloyd Lane, Spokane, WA 99223 | 2012-12-11 |
| 1184968752 | Susan Marie Reynolds | Massage Therapist | 3010 S. Southeast Blvd, Suite A, Spokane, WA 99223 | 2012-11-20 |
| 1750638110 | Bobby E Kizer | Psychologist | 4219 E Prairie Lane Ct, Spokane, WA 99223 | 2012-08-04 |
| Find all providers in zip 99223 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103026 | River City Tms, Pllc | Psychologist | 400 S Jefferson St Ste 118, Spokane, WA 99204-3142 | 2020-10-28 |
| 1386064756 | Angela Hille | Psychologist | 101 W Cataldo Ave Ste 210, Spokane, WA 99201-3200 | 2014-04-23 |
| 1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
| 1669801015 | Dennis Dyck | Psychologist | Tapio Professional Center, Green Flag Bldg 104 S. Freya, Suite 112c, Spokane, WA 99202 | 2013-11-06 |
| 1740585025 | John Bruce Jessen | Psychologist | 4107 S Bellgrove Ln, Spokane, WA 99223-6185 | 2011-01-18 |
| 1295970333 | Jameson C Lontz | Psychologist | 1624 W Dean Ave, Spokane, WA 99201-1825 | 2008-12-03 |
| 1790952141 | Nancy L. Worsham | Psychologist | East 502 Boone Ave, Gonzaga University Psychology Department, Spokane, WA 99258-0056 | 2008-05-14 |
| 1295947687 | Cornerstone Psychologist, Ps | Psychologist | 1525 W 8th Ave, Spokane, WA 99204-3414 | 2007-05-05 |
| 1568688646 | Kayleen Islam-zwart | Psychologist | 140 S Arthur St Ste 410, Spokane, WA 99202-2220 | 2007-04-17 |
| 1427272384 | Dennis Richard Pollack | Psychologist | 9 S Washington St, Suite 709, Spokane, WA 99201-3719 | 2007-04-12 |
| Find all providers in SPOKANE | ||||
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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.