TEVIS CLARK SMITH (NPI# 1902312804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902312804 |
| Entity Type | Individual |
| Full Name | TEVIS CLARK SMITH |
| Credential | CRNA, RN |
| Practice Address |
250 Park St Bowling Green KY 42101-1760 |
| Mailing Address |
680 Ralph Morris Rd Glasgow KY 42141-9647 |
| Practice Telephone | 2707451000 |
| Mailing Telephone | 2706705267 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 119117 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
250 PARK ST |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-1760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133083 | Samuel F. Hardcastle | Internal Medicine | 250 Park St, Suite 6b, Bowling Green, KY 42101-1760 | 2005-06-09 |
| 1083222970 | Natasha Rasool | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-07-16 |
| 1255958328 | Suniya Naeem | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-07-06 |
| 1063034312 | Jenifer Lynn Hill | Registered Nurse | 250 Park St, Bowling Green, KY 42101-1760 | 2020-05-09 |
| 1437771946 | Krystal Mckain | Registered Nurse | 250 Park St, Bowling Green, KY 42101-1760 | 2020-05-07 |
| 1437787553 | Jack Ryan Norgren | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-04-01 |
| 1700414182 | Anup Patel | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-03-31 |
| 1083242424 | Alejandro Luis Feria | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-03-31 |
| 1467080911 | John Rowett Weller | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-03-31 |
| 1730717034 | Eric Landon Smart | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700176427 | Jonathan L Lynn | Nurse Anesthetist, Certified Registered | 350 Park St Ste 203b, Bowling Green, KY 42101-1784 | 2011-04-14 |
| 1447580980 | Brandy R Lux | Nurse Anesthetist, Certified Registered | 1801 Ashley Circle, Bowling Green, KY 42104-9024 | 2010-01-06 |
| 1104889427 | Susan Carol Scott | Nurse Anesthetist, Certified Registered | 902 Elm St, Bowling Green, KY 42101-2224 | 2006-04-08 |
| 1578163770 | Southeast Anesthesia, Plc | Nurse Anesthetist, Certified Registered | 201 Park St, Bowling Green, KY 42101-1742 | 2020-10-27 |
| 1396384079 | Betsy Mccoy | Nurse Anesthetist, Certified Registered | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2019-12-30 |
| 1740826387 | Arron Dalton Gunderson | Nurse Anesthetist, Certified Registered | 250 Park St, Bowling Green, KY 42101-1760 | 2019-11-19 |
| 1326695487 | Aleksander Nagornay | Nurse Anesthetist, Certified Registered | 250 Park St, Bowling Green, KY 42101-1760 | 2019-08-23 |
| 1568936706 | Katie Fletcher Lowe | Nurse Anesthetist, Certified Registered | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2019-01-21 |
| 1598248411 | Angela Kitchens Wilhelm | Nurse Anesthetist, Certified Registered | 250 Park St, Bowling Green, KY 42101 | 2018-09-07 |
| 1316453798 | Zachary Allen Stewart | Nurse Anesthetist, Certified Registered | 250 Park St, Bowling Green, KY 42101-1760 | 2017-12-20 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
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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.