MS. DEBRA ANN SMITH (NPI# 1881778702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881778702 |
| Entity Type | Individual |
| Full Name | MS. DEBRA ANN SMITH |
| Credential | BS |
| Practice Address |
1100 W 21st Clovis NM 88101 |
| Mailing Address |
2309 Gidding St Clovis NM 88101 |
| Practice Telephone | 5057692345 |
| Practice Fax Number | 5057698974 |
| Mailing Telephone | 5057697721 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104312370 | Debra Kay Smith | Marriage & Family Therapist | 33726 Chrisco St, Agua Dulce, CA 91390-5051 | 2018-07-10 |
| 1154818540 | Debra Lynne Smith | Registered Nurse | 10601 248th Street Ct E, Graham, WA 98338-6769 | 2018-04-20 |
| 1922488840 | Debra Smith | Occupational Therapy Assistant | 900 Colonial Lake Dr Apt 923, Madison, AL 35758-2283 | 2015-06-05 |
| 1629404942 | Debra Smith | Behavioral Analyst | 36 Gotham Ave, Brooklyn, NY 11229 | 2013-09-18 |
| 1942555677 | Debra Smith | Community Health Worker | 11056 Township Road 101, Findlay, OH 45840-9608 | 2012-07-18 |
| 1538490719 | Debra Kay Smith | Physician Assistant | One Dell Way, Mailstop Rr 8-49 Well At Dell Health Center, Round Rock, TX 78682 | 2010-01-27 |
| 1306085667 | Debra M Smith | Speech-Language Pathologist | 38 W Passage Dr, Portsmouth, RI 02871-1358 | 2009-02-10 |
| 1972714442 | Debra Kay Hines Smith | Physician Assistant | 22629 N 73rd Dr, Glendale, AZ 85310-5662 | 2007-05-25 |
| 1184758302 | Debra Frazier Smith | Registered Nurse | 3968 Rose Ave, Long Beach, CA 90807-3734 | 2007-03-16 |
| 1194885186 | Debra A Smith | Preventive Medicine | 7008 Wooded Meadow Rd, Louisville, KY 40241-6411 | 2006-12-11 |
| Street Address |
1100 W 21ST |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891879755 | Sarah Renee Bailey | Case Manager/Care Coordinator | 1100 W 21st, Clovis, NM 88101 | 2006-10-25 |
| 1326378043 | Cash A Clifton | Counselor | 1100 W 21st, Clovis, NM 88101-3714 | 2009-12-31 |
| 1477627560 | Kelly Michael Hartz | Case Manager/Care Coordinator | 1100 W 21st, Mental Health Resources, Clovis, NM 88101 | 2006-11-20 |
| 1093889354 | Dee Ann Ann Kreutzer | Counselor | 1100 W 21st, Clovis, NM 88101 | 2006-11-20 |
| 1790869600 | Johnny Max Saiz Jr. | Case Manager/Care Coordinator | 1100 W 21st, Clovis, NM 88101 | 2006-10-25 |
| 1225112154 | Christopher S Tokarski | Counselor | 1100 W 21st, Clovis, NM 88101 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346663796 | Stacy Pederson | Case Manager/Care Coordinator | 20 W Bedford Ave, Clovis, CA 93611-3515 | 2014-01-21 |
| 1891879755 | Sarah Renee Bailey | Case Manager/Care Coordinator | 1100 W 21st, Clovis, NM 88101 | 2006-10-25 |
| 1760566681 | Jena Dawn Henry | Case Manager/Care Coordinator | 1100 21st St, Clovis, NM 88101 | 2006-10-25 |
| 1982788840 | Richard Lucero | Case Manager/Care Coordinator | 300 E 5th Street, Clovis, NM 88101 | 2006-10-25 |
| 1750996369 | Wendy Salomon | Case Manager/Care Coordinator | 1100 W 21st St, Clovis, NM 88101-4151 | 2020-09-10 |
| 1760097372 | Cynthia Cicero | Case Manager/Care Coordinator | 1100 W 21st St, Clovis, NM 88101-4151 | 2020-09-10 |
| 1275145377 | Tiffany Marie Wright | Case Manager/Care Coordinator | 1100 W 21st St, Clovis, NM 88101-4151 | 2020-08-19 |
| 1487266623 | Enrique Eliseo Cabral | Case Manager/Care Coordinator | 1100 W 21st St, Clovis, NM 88101-4151 | 2020-08-19 |
| 1891306288 | Kaitlyn Rael | Case Manager/Care Coordinator | 1100 W 21st St, Clovis, NM 88101-4151 | 2020-08-11 |
| 1437760824 | Clay Enderez | Case Manager/Care Coordinator | 1100 W 21st St, Clovis, NM 88101-4151 | 2020-08-11 |
| Find all providers in CLOVIS | ||||
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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.