MISS MISTY LYNN SMITH (NPI# 1952423584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952423584 |
| Entity Type | Individual |
| Full Name | MISS MISTY LYNN SMITH |
| Credential | ITFS |
| Practice Address |
10 Parker Ln Pinehurst NC 28374-7903 |
| Mailing Address |
119 Trent St Rockingham NC 28379-8979 |
| Practice Telephone | 9102953133 |
| Mailing Telephone | 9109952860 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3403400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659920650 | Misty Rene Smith | Physical Therapy Assistant | 5934 County Road 289, Sweeny, TX 77480-4024 | 2019-09-11 |
| 1992265805 | Misty Dawn Smith | Speech-Language Pathologist | 342 W Central Avenue, Jamestown, TN 38556 | 2019-03-25 |
| 1548631542 | Misty Smith | Health Educator | 21340 Old Covington Hwy, Hammond, LA 70403-0528 | 2015-10-15 |
| 1053681346 | Misty Smith | Dental Hygienist | Hwy 270 & 56 Jct, Wewoka, OK 74884 | 2012-01-04 |
| 1790077089 | Misty D Smith | Registered Nurse | 620 Manassas Cir, Bossier City, LA 71112-4842 | 2011-05-05 |
| 1972584258 | Misty L. Smith | Chiropractor | 303 E Taylor St, Hobbs, NM 88240-6139 | 2005-11-14 |
| 1477151975 | Misty Smith | Pharmacist | 444 Se Stephens St, Roseburg, OR 97470-3136 | 2020-10-15 |
| 1699397653 | Misty Smith | Behavioral Analyst | 6475 Sierra Ln, Dublin, CA 94568-2796 | 2020-05-13 |
| 1205485299 | Misty Smith | Registered Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2019-09-11 |
| 1780247247 | Misty M Smith | Nurse Practitioner | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-04-19 |
| Street Address |
10 PARKER LN |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-7903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689798852 | Lisa M Dewey | Speech-Language Pathologist | 10 Parker Ln, Suite 1, Pinehurst, NC 28374-7903 | 2007-03-16 |
| 1689810970 | Katina Braswell | Social Worker | 10 Parker Ln, Pinehurst, NC 28374-7903 | 2008-12-17 |
| 1376704882 | Virginia Brewer Long | Speech-Language Pathologist | 10 Parker Ln, Pinehurst, NC 28374-7903 | 2008-06-18 |
| 1679746838 | Latasha Bethea | Social Worker | 10 Parker Ln, Pinehurst, NC 28374-7903 | 2008-04-09 |
| 1952593261 | Costella Marie Roberts Mckoy | Counselor | 10 Parker Ln, Suite 2, Pinehurst, NC 28374-7903 | 2007-08-10 |
| 1801011242 | State of Nc Division of Health Services | Clinic/Center | 10 Parker Ln, Suite 1, Pinehurst, NC 28374-7903 | 2007-04-13 |
| 1548382674 | Tracy Mcneill Keister | Registered Nurse | 10 Parker Ln, Pinehurst, NC 28374-7903 | 2007-04-06 |
| 1932221579 | Susan Lantz Fore | Developmental Therapist | 10 Parker Ln, Pinehurst, NC 28374-7903 | 2007-04-04 |
| 1922129154 | Angela Lee Callicutt | Registered Nurse | 10 Parker Ln, Suite 1, Pinehurst, NC 28374-7903 | 2007-04-03 |
| 1700907409 | Diana M. Miller | Dietitian, Registered | 10 Parker Ln, Suite 1, Pinehurst, NC 28374-7903 | 2007-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932221579 | Susan Lantz Fore | Developmental Therapist | 10 Parker Ln, Pinehurst, NC 28374-7903 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645763 | Brittany Teach-lizzmore | Developmental Therapist | 800 Carolina Ave, Kinston, NC 28504-3551 | 2020-10-08 |
| 1770193153 | Kattiesha Plum | Developmental Therapist | 4160 Piedmont Pkwy, Greensboro, NC 27410-8174 | 2020-07-31 |
| 1255940581 | Toria Davenport | Developmental Therapist | 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 | 2020-07-22 |
| 1760014302 | Janet Monica De La Cruz | Developmental Therapist | 231 Sanders Rd, Benson, NC 27504-9185 | 2020-02-11 |
| 1881233682 | Michelle Ford | Developmental Therapist | 308 Romeo Ct, Henderson, NC 27537-4809 | 2019-12-27 |
| 1225670052 | Raquel Barden | Developmental Therapist | 711 Dude Ct, Fayetteville, NC 28303-3136 | 2019-10-14 |
| 1427617745 | Jackie Payne-mcgee | Developmental Therapist | 529 Black Maple Dr, Kannapolis, NC 28081-5880 | 2019-06-10 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1720643349 | Satonya D Smyre | Developmental Therapist | 119 N Tradd St, Statesville, NC 28677-5269 | 2019-05-08 |
| 1881155372 | Shatoya Williamson | Developmental Therapist | 3330 Harbour Pointe Pl Unit 7, Fayetteville, NC 28314-1764 | 2019-03-27 |
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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.