TYRA MARIE SMITH (NPI# 1902127681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902127681 |
| Entity Type | Individual |
| Full Name | TYRA MARIE SMITH |
| Practice Address |
817 Laguna Dr Corona CA 92879-1027 |
| Practice Telephone | 9492922923 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497164917 | Tyra Smith | Home Health Aide | 3012 Carskaddon Ave, Toledo, OH 43606-6607 | 2014-08-08 |
| 1841767498 | Tyra Smith | Social Worker | 7701 13th Ave, Brooklyn, NY 11228-2413 | 2018-10-31 |
| 1083120778 | Tyra Smith | Behavior Technician | 2017 College Ave Se, Grand Rapids, MI 49507-3101 | 2017-12-18 |
| 1184973919 | Tyra Smith | Developmental Therapist | 2708 Ne 14th St, Suite 5, Pompano Beach, FL 33062-3565 | 2012-09-07 |
| Street Address |
817 LAGUNA DR |
| City | CORONA |
| State | CA |
| Zip Code | 92879-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629688932 | Shivani Malhotra Borhara | Counselor | 4710 111th St Fl 2, Corona, NY 11368-2921 | 2020-08-03 |
| 1659902161 | Shifted Perspective Consulting | Counselor | 1002 W 5th St, Corona, CA 92882-1806 | 2020-02-03 |
| 1770128555 | Ronny Ron Loeur | Counselor | 25103 Sagebush Way, Corona, CA 92883-3045 | 2019-11-15 |
| 1043852767 | Adriana P Mendez | Counselor | 7979 Minnesota Rd Apt F, Corona, CA 92881-4316 | 2019-10-14 |
| 1851943377 | Webertech Inc. | Counselor | 765 N Main St # 122, Corona, CA 92880-1440 | 2019-07-15 |
| 1356903728 | Shamim Rahman | Counselor | 3294 Crystal Ridge Cir, Corona, CA 92882-7944 | 2019-07-05 |
| 1780149740 | Melodie Lacy | Counselor | 3370 Sterling Dr, Corona, CA 92882-8657 | 2019-02-04 |
| 1477073468 | Adrian Macias I | Counselor | 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 | 2017-06-21 |
| 1699205286 | Sylvia Barrow | Counselor | 2275 South Main Street Suite 201, Corona, CA 92882 | 2017-06-15 |
| 1548622889 | Shanee Marzettee Brown | Counselor | 11762 De Palma Rd, Suite 1-c, #108, Corona, CA 92883-4010 | 2016-03-25 |
| Find all providers in CORONA | ||||
Please comment or provide details below to improve the information on TYRA MARIE 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.