MS. KATHLEEN W. SMITH


Address: 900 Main Street Suite 280, Peoria, IL 61636-4688
Phone: 3096436118

MS. KATHLEEN W. SMITH (NPI# 1992109755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992109755
Entity Type Individual
Full Name MS. KATHLEEN W. SMITH
Credential APN
Practice Address 900 Main Street Suite 280
Peoria
IL 61636-4688
Mailing Address 10611 N Sleepy Hollow Rd
Peoria
IL 61615-1121
Practice Telephone 3096436118
Practice Fax Number 3095177476
Mailing Telephone 3097121363
Mailing Fax Number 3095177476
Enumeration Date 2014-10-22
Last Update Date 2020-08-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 209.012013 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers KATHLEEN SMITH

NPI Name Taxonomy Address Enumeration
1528615184 Kathleen Smith Nurse Practitioner 601 Channelside Walk Way Apt 1438, Tampa, FL 33602-6741 2019-08-19
1750869970 Kathleen Helen Smith Community/Behavioral Health 27 Wildwood, Irvine, CA 92604-3341 2018-07-31
1821593138 Kathleen Marie Smith Nurse Practitioner 44456 Brookside Rd, Plymouth, MI 48170-3848 2018-03-28
1700386588 Kathleen Marie Smith Registered Nurse 14289 Burnt Mls, Willis, TX 77318-6791 2018-02-18
1851750160 Kathleen Christensen Smith Acupuncturist 10 S Hanson St Ste 27, Easton, MD 21601-3078 2016-02-15
1861895534 Kathleen Ann Smith Pharmacist 243 S. Prospect St., Nanticoke, PA 18634 2014-10-08
1427334408 Kathleen Ann Smith Social Worker 2239 Nw 19th St, Oklahoma City, OK 73107-3542 2011-10-22
1326323882 Kathleen Lesh Smith Massage Therapist 16306-b Hwy. 84, Chama, NM 87520 2011-10-17
1558675116 Kathleen H Smith Pharmacist 1920 E Beau St, Washington, PA 15301-3188 2010-08-05
1760707764 Kathleen Smith Registered Nurse 14 Shorehaven Blvd, Lake Ronkonkoma, NY 11779-2719 2010-04-01

Office Location

Street Address 900 MAIN STREET SUITE 280
City PEORIA
State IL
Zip Code 61636-4688

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962767376 Aman Deep Singh Psychiatry & Neurology 221 Ne Glen Oak Ave. 7 West, Dept. of Psych. and Behavior Health., Peoria, IL 61636 2012-07-11
1932490075 Christine Ann Wigginton Radiology 221 Ne Glen Oak Ave Dept Of, Peoria, IL 61636 2011-04-24
1154856607 Shubhada Reddy Psychiatry & Neurology 221 Ne Glen Oak Ave, Peoria, IL 61636 2017-04-21
1649657685 Nicholas Grieco Internal Medicine 221 Ne Glen Oak Ave, Peoria, IL 61636 2015-04-29
1659703759 Dhaval Save Internal Medicine 221 Ne Glen Oak Ave, Peoria, IL 61636 2013-07-31
1164474755 Methodist Medical Center of Illinois General Acute Care Hospital 221 Ne Glen Oak Ave, Peoria, IL 61636 2006-05-16
1871560623 Minna Jinn O'leary Psychiatry & Neurology 221 Ne Glen Oak Ave, Peoria, IL 61636 2006-03-01
1568901544 Stephanie Ann Sullivan Nurse Anesthetist, Certified Registered Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001 2017-02-23
1073066155 Caroline Vanaman Counselor 221 Ne Glen Oak Ave # 7w, Peoria, IL 61636-0001 2016-07-26
1497141758 Amber Hemminger Registered Nurse 200 Ne Glen Oak Ave, Peoria, IL 61636-0001 2015-04-13
Find all providers in zip 61636

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962034215 Lia Doh Nurse Practitioner 8357 W Rosewood Ln, Peoria, AZ 85383-3869 2020-02-05
1285274027 Chauntel M Nessmith Nurse Practitioner 7540 W Jenan Dr, Peoria, AZ 85345-1367 2020-01-09
1003450925 Kimberly Ann Flores Nurse Practitioner 12118 W Avenida Del Rey, Peoria, AZ 85383-5819 2019-11-04
1821630666 Leesa K Jost Nurse Practitioner 8914 N Prairie Pointe Rd, Peoria, IL 61615-1574 2019-10-14
1942842018 Tamarra Lynn Subyantoro Nurse Practitioner 5114 N Glen Park Place Rd Ste 110, Peoria, IL 61614-4686 2019-10-10
1255981593 Eunmee Hong Nurse Practitioner 21369 N 79th Dr, Peoria, AZ 85382-4453 2019-09-18
1295297737 Tasha R Besser Nurse Practitioner 5114 N Glen Park Place Rd Ste 220, Peoria, IL 61614-4686 2019-04-03
1669936506 Kristin Danielle Downs Nurse Practitioner 10408 N Centerway Dr, Peoria, IL 61615-1234 2019-01-24
1205312790 Kathleen Marie Hendricks Nurse Practitioner 2809 W Willow Knolls Dr, Peoria, IL 61614 2018-07-17
1538665609 Tara Moore Nurse Practitioner 10408 N Centerway Dr Ste Cde, Peoria, IL 61615-1234 2018-04-05
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61636

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Dataset Information

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.

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