KENMAR WELDON SMITH (NPI# 1942617998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942617998 |
| Entity Type | Individual |
| Full Name | KENMAR WELDON SMITH |
| Credential | NP |
| Practice Address |
944 S. Military Trail West Palm Beach FL 33415-3910 |
| Mailing Address |
200 Oceangate, Suite 100 Long Beach CA 90802-4317 |
| Practice Telephone | 5612234081 |
| Practice Fax Number | 8777789601 |
| Mailing Telephone | 5624996191 |
| Mailing Fax Number | 5624996171 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2017-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP02461 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 019262800-007624801 | 05 | |
| FL | 019262800-007624800 | 05 |
| Street Address |
944 S. MILITARY TRAIL |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33415-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548541683 | Molina Healthcare of - Florida | Pediatrics | 944 S. Military Trail, West Palm Beach, FL 33415-3910 | 2011-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326670613 | Briana Howard | Social Worker | 631-sea Pine Way F2, Greenacres, FL 33415 | 2020-02-05 |
| 1023648821 | Belen Home Care | Assisted Living Facility | 4584 Sutton Terra South, West Palm Beach, FL 33415 | 2020-01-21 |
| 1013556315 | Titan Chiropractic & Rehab | Chiropractor | 655 N Military Trail Ste 9, West Palm Beach, FL 33415 | 2020-01-03 |
| 1467006916 | Bradley Martin | Student in an Organized Health Care Education/Training Program | 5189 Pine Abbey Drive South, West Palm Beach, FL 33415 | 2019-08-01 |
| 1508370131 | Lisa Palmieri | Physical Therapist | 5056 Wallis Rd, West Palm Beach, FL 33415 | 2017-11-17 |
| 1093233637 | Anay Piloto Garcia | Behavior Technician | 1851 W Chatham Rd, West Palm Beach, FL 33415 | 2017-09-05 |
| 1356897631 | Leida C Alarcon | Technician, Other | 2221 White Pine Cir Apt D, Greenacres, FL 33415 | 2016-08-28 |
| 1689061996 | Antonio Cruz | Physical Therapy Assistant | 2939 S Haverhill Road, Wpb, FL 33415 | 2015-04-24 |
| 1780019034 | Michele Thune | Nurse Practitioner | 942 Scott Dr, West Palm Beach, FL 33415 | 2013-09-05 |
| 1780017657 | Genesis Rehab Services | Skilled Nursing Facility | 6414 13th Rd. South, Woodlake, West Palm Beach, FL 33415 | 2013-08-15 |
| Find all providers in zip 33415 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819675 | Iserna Narcisse | Nurse Practitioner | 1433 Woodcrest Rd W, West Palm Beach, FL 33417-5732 | 2020-10-24 |
| 1467050393 | Sarina Tsien Chun Ken | Nurse Practitioner | 1102 Centerstone Lane, West Palm Beach, FL 33404 | 2020-10-13 |
| 1447858535 | Abigael Paulina Bassin | Nurse Practitioner | 5405 Okeechobee Blvd Ste 306, West Palm Beach, FL 33417-4554 | 2020-10-12 |
| 1316544596 | Barbara K Weddle | Nurse Practitioner | 591 Evernia St Apt 1519, West Palm Beach, FL 33401-5781 | 2020-10-01 |
| 1558978023 | Dalia Magdalena Secin Santana | Nurse Practitioner | 940 Green St, West Palm Beach, FL 33405-3002 | 2020-09-28 |
| 1295342277 | Stela Karkatselos | Nurse Practitioner | 2700 Palm Beach Lakes Blvd., West Palm Beach, FL 33409 | 2020-09-24 |
| 1467065607 | Monica Gabriella Mcguire | Nurse Practitioner | 1015 Upland Rd, West Palm Beach, FL 33401-7551 | 2020-08-27 |
| 1023629326 | Heidi Haase | Nurse Practitioner | 12775 Tangerine Blvd, West Palm Beach, FL 33412-2039 | 2020-08-11 |
| 1528686250 | Meibol Mas San Juan | Nurse Practitioner | 1495 Forest Hill Blvd Ste D, West Palm Beach, FL 33406-6073 | 2020-07-09 |
| 1598382707 | Alicia Arce Bejerano | Nurse Practitioner | 396 Caroline Ave, West Palm Beach, FL 33413-1819 | 2020-07-03 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33415 |
Please comment or provide details below to improve the information on KENMAR WELDON 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.