WILLIAM J SMITH JR. (NPI# 1902150626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902150626 |
| Entity Type | Individual |
| Full Name | WILLIAM J SMITH JR. |
| Credential | NP |
| Practice Address |
1308 Markham Ct College Station TX 77846 |
| Mailing Address |
1308 Markham Ct College Station TX 77845-3524 |
| Practice Telephone | 4802479195 |
| Mailing Telephone | 4802479195 |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AP122661 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 717283 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179178 | William Smith Iv | Private Vehicle | 2535 S Twin Bridge Rd, Decatur, IL 62521-9604 | 2019-11-26 |
| 1700430907 | William K. Smith | Physical Medicine & Rehabilitation | 4301 Jones Bridge Rd Rm 1036, Bethesda, MD 20814-4712 | 2019-07-26 |
| 1861995920 | William D Smith Jr. | Pharmacist | 3501 Gladstone Blvd, Kansas City, MO 64123-1114 | 2018-03-15 |
| 1467999102 | William Smith | Dentist | 9601 Chester Ave # 239j, Cleveland, OH 44106 | 2017-01-19 |
| 1134663149 | William Smith | Pharmacy Technician | 1646 Redbud Cir, Radcliff, KY 40160-2823 | 2016-12-09 |
| 1073065090 | William C Smith | Acupuncturist | 4482 E Belleview St, Phoenix, AZ 85008-5644 | 2016-10-25 |
| 1548719776 | William Smith | Rehabilitation Practitioner | 319 S 1st St, Suite #29, Temple, TX 76504-5500 | 2016-09-29 |
| 1134583677 | William Smith | Student in an Organized Health Care Education/Training Program | 100 Cooper St Apt 2f, New York, NY 10034-2312 | 2016-04-11 |
| 1003275009 | William Smith | Specialist | 761 Sw Darcy Ave, Siletz, OR 97380-2019 | 2016-02-18 |
| 1154797892 | William Smith | Contractor | 320 Harman St Apt 1l, Brooklyn, NY 11237-4929 | 2015-08-17 |
| Street Address |
1308 MARKHAM CT |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417155 | Tomi Mayer | Registered Nurse | 4030 Highway 6 S Ste 325, College Station, TX 77845-1803 | 2020-11-05 |
| 1942800529 | Remarkable Ltc Partners of Brazos Valley Lp | Hospice Care, Community Based | 1645 Greens Prairie Rd W Ste 401b-2, College Station, TX 77845-8404 | 2020-10-31 |
| 1386242527 | Ayesha Jeelani | Dentist | 915 William D Fitch Pkwy Ste 300, College Station, TX 77845-4638 | 2020-10-10 |
| 1023622651 | Doc Healthcare, P.a. | Clinic/Center | 18395 Anasazi Bluff Dr, College Station, TX 77845-6158 | 2020-09-01 |
| 1255944302 | Ojong-tabong Bate | Pharmacist | 1811 George Bush Dr E Apt 223, College Station, TX 77840-3374 | 2020-08-28 |
| 1962015370 | Shanna Lewis Dominguez | Counselor | 3322 Longmire Dr Ste 100, College Station, TX 77845-6088 | 2020-08-25 |
| 1184237760 | Joseph Ryan Dickson | Dentist | 219 Rock Prairie Rd Ste 100, College Station, TX 77845-8796 | 2020-08-25 |
| 1174132245 | Ryan Robinson | Pharmacist | 11675 Fm 2154 Rd, College Station, TX 77845-4737 | 2020-07-24 |
| 1093324139 | Stephanie Bynum | Specialist/Technologist | 503 George Bush Dr W Apt 2630, College Station, TX 77840-2979 | 2020-07-24 |
| 1720697006 | Abby Ann Horn | Specialist/Technologist | 118b Poplar St, College Station, TX 77840-1911 | 2020-07-23 |
| Find all providers in COLLEGE STATION | ||||
| 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 |
|---|---|---|---|---|
| 1679906218 | Kimberly Marie Patton | Nurse Practitioner | 311 Houston St, College Station, TX 77843-1236 | 2013-08-19 |
| 1639131667 | Deborah Motley | Nurse Practitioner | Ap Beutal Student Health Services, 1264 Tamu, College Station, TX 77843-1264 | 2006-04-05 |
| 1053690941 | Brandi B Knight-prazak | Nurse Practitioner | 1604 Rock Prairie Rd, College Station, TX 77845-8345 | 2011-08-09 |
| 1952523540 | Cynthia Gayle Weston | Nurse Practitioner | 700 Scott and White Dr, College Station, TX 77845-6441 | 2007-05-03 |
| 1467514950 | Kimberly H Oas | Nurse Practitioner | 4421 Hwy 6 South, Ste 100, College Station, TX 77845 | 2006-12-14 |
| 1386717080 | Dodd George Lange | Nurse Practitioner | 700 Scott and White Dr, College Station, TX 77845-6441 | 2006-11-17 |
| 1295758548 | Deedra A Wright | Nurse Practitioner | 1700 University Dr E, College Station, TX 77840-2661 | 2006-07-26 |
| 1750344370 | Patricia Duffy | Nurse Practitioner | 1600 University Dr E, College Station, TX 77840-2642 | 2006-04-07 |
| 1205899762 | Sally L. Miller | Nurse Practitioner | 1600 University Dr E, College Station, TX 77840-2642 | 2006-04-07 |
| 1932161924 | Heidemarie W. Boas | Nurse Practitioner | 1600 University Dr E, College Station, TX 77840-2642 | 2006-04-05 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77846 |
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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.