THERESA SMITH (NPI# 1871814160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871814160 |
| Entity Type | Individual |
| Full Name | THERESA SMITH |
| Credential | FNP |
| Practice Address |
9332 S Tryon St Charlotte NC 28273-3108 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7045876700 |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 4247 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 5010522 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5717 Albemarle Rd, Charlotte, NC 282121634 | 7045632150 | |
| 5727 Prosperity Crossing Dr, Ste 1100, Charlotte, NC 282692206 | 7048639930 | |
| 704 Gold Hill Rd, Ste 1200, Fort Mill, SC 297158906 | 7046673380 | |
| 7810 Providence Rd, Ste 102, Charlotte, NC 282262954 | 7045436636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467980052 | Theresa P Smith | Technician | 2301 11th St Nw Apt 116, Washington, DC 20001-2245 | 2017-05-26 |
| 1942651518 | Theresa Smith | Pediatrics | 5580 Celestial Dr, Atwater, CA 95301-3119 | 2016-06-24 |
| 1346516697 | Theresa Smith | Occupational Therapist | 33 Buttonwood Pl, Hazlet, NJ 07730-2173 | 2012-03-30 |
| 1356672604 | Theresa Monahan Smith | Registered Nurse | 177 Carroll Ave, Brockton, MA 02301-6315 | 2010-01-27 |
| 1801916283 | Theresa Faye Smith | Social Worker | 14 North Cottonwood Street, Woodland, AL 95695 | 2007-03-30 |
| 1841321486 | Theresa J Smith | Social Worker | 1119 S Elliott Ave, Aurora, MO 65605-2405 | 2007-03-07 |
| 1326119538 | Theresa Smith | Occupational Therapist | 7675 Phoenix Dr Apt 1025, Houston, TX 77030-4718 | 2006-11-10 |
| 1659312973 | Theresa Flynn Smith | Social Worker | 517 Tomahawk Ave, Black Mountain, NC 28711-2861 | 2006-06-09 |
| 1063476000 | Theresa L. Smith | Chiropractor | 122 E Walnut Ave, Suite C, Monrovia, CA 91016-3449 | 2006-04-14 |
| 1598366304 | Theresa Smith | Counselor | 239 W 9th St, Upland, CA 91786-5979 | 2020-11-06 |
| Street Address |
9332 S TRYON ST |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28273-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144291410 | Ayanna Galloway | Physician Assistant | 9332 S Tryon St, Charlotte, NC 28273-3108 | 2006-01-27 |
| 1386182756 | Jennifer Lopez | Nurse Practitioner | 9332 S Tryon St, Charlotte, NC 28273-3108 | 2017-02-06 |
| 1740605666 | Stephanie Jones | Nurse Practitioner | 9332 S Tryon St, Charlotte, NC 28273-3108 | 2014-02-28 |
| 1699089862 | Stacia Tate | Nurse Practitioner | 9332 S Tryon St, Charlotte, NC 28273-3108 | 2010-07-30 |
| 1699004697 | Carolinas Physicians Network Inc | Pediatrics | 9332 S Tryon St, Charlotte, NC 28273-3108 | 2009-12-22 |
| 1528397593 | Palmetto Pediatrics | Pediatrics | 9332 S Tryon St, Charlotte, NC 28273-3108 | 2009-12-21 |
| 1316198229 | Peter Nkyesiga | Physician Assistant | 9332 S Tryon St, Charlotte, NC 28273-3108 | 2008-10-09 |
| 1740407303 | Sir Funchess Jr. | Physician Assistant | 9332 S Tryon St, Charlotte, NC 28273-3108 | 2007-04-18 |
| 1902959315 | Debbie Rutledge-holt | Physician Assistant | 9332 S Tryon St, Charlotte, NC 28273-3108 | 2007-01-19 |
| 1942229661 | Jerry Withrow | Family Medicine | 9332 S Tryon St, Charlotte, NC 28273-3108 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588204846 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2520 Whitehall Park Dr Ste 1000, Charlotte, NC 28273 | 2020-01-14 |
| 1295387637 | Excel Eyecare Od Pa | Optometrist | 14154 Steele Creek Rd, Ste 200, Charlotte, NC 28273 | 2019-07-16 |
| 1992262018 | Katherine Grace Bias | Speech-Language Pathologist | 11709 Freuhaud Dr Ste. 123, Charlotte, NC 28273 | 2019-02-25 |
| 1487111977 | Shanise Danielle Lewis | Respite Care | Top Notch Nurse Staffing & Home Health LLC., 2015 Ayrsley Town Blvd. Suite 202, Charlotte, NC 28273 | 2019-02-21 |
| 1700361953 | Timothy John Hartman | Chiropractor | 2550 West Arrowood Road Suite 104, Charlotte, NC 28273 | 2018-10-03 |
| 1144703141 | Shaquanda King | Behavior Technician | 15528 Baltinglass Ct., Charlotte, NC 28273 | 2018-09-14 |
| 1184106502 | Janelle Gillis | Behavioral Analyst | 13354 Calloway Glen Dr, Charlotte, NC 28273 | 2018-09-01 |
| 1730688680 | Style By Shandy Inc | Specialist | 2106 Arysley Town Blvd, A, Charlotte, NC 28273 | 2018-02-06 |
| 1063945582 | Bpolloni Consulting | Clinical Medical Laboratory | 11709 Fruehauf Drive, Suite 105 & 106, Charlotte, NC 28273 | 2017-04-11 |
| 1770038325 | Kerry Barbera | Dietitian, Registered | 12421 Belmont Mansion Dr, Charlotte, NC 28273 | 2016-08-23 |
| Find all providers in zip 28273 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544986 | Tonya Lynn Burris | Nurse Practitioner | 7810 Providence Rd Ste 102, Charlotte, NC 28226-2987 | 2020-09-28 |
| 1003428293 | Kashari Davis | Nurse Practitioner | 4252 Sutwick Dr, Charlotte, NC 28269-6001 | 2020-08-19 |
| 1457972796 | Lindsey O'brien | Nurse Practitioner | 3423 Hornets Nest Way, Charlotte, NC 28208-5224 | 2020-04-28 |
| 1285254904 | Barbara Ballard | Nurse Practitioner | 10731 Haddington Dr Nw, Charlotte, NC 28269-6954 | 2020-04-22 |
| 1710506787 | Lindsey Delcasino Plair | Nurse Practitioner | 1212 South Blvd, Charlotte, NC 28203-4215 | 2020-04-10 |
| 1457991275 | Advanced Physical Medicine | Nurse Practitioner | 8821 University East Dr # 120, Charlotte, NC 28213-4200 | 2020-01-09 |
| 1700447562 | Milford Darnell George Jr. | Nurse Practitioner | 8403 University Executive Park Drive, Suite 685, Charlotte, NC 28262-3330 | 2019-06-24 |
| 1194288241 | Tonya Denise Farmer | Nurse Practitioner | 620 Tom Hunter Road, Charlotte, NC 28213 | 2019-04-06 |
| 1649738204 | Brittany Schmalfeld | Nurse Practitioner | 8943 S Tryon St Unit K, Charlotte, NC 28273-3539 | 2019-03-03 |
| 1407313703 | Natalie Ann Bullock | Nurse Practitioner | 400 E Stonewall St Ste F, Charlotte, NC 28202-3601 | 2019-02-23 |
| Find all providers in CHARLOTTE | ||||
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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.