Active NPI
Jesika Smith, MS
- Genetic Counselor (M.S.)
- Renton, WA
National Provider Identifier
1013781962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- GT61495239
- Practice address
- 4033 Talbot Rd S Ste 450
Renton, WA 98055-5767 - Phone
- (425) 690-3477
- Fax
- (425) 690-9477
- NPI assigned
- Nov 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | GT61495239 | WA | Primary |
Addresses
Primary practice location
4033 Talbot Rd S Ste 450
Renton, WA 98055-5767
Mailing address
4033 Talbot Rd S Ste 450
Renton, WA 98055-5767
Phone (425) 690-3477
Other names 1
- Jessica Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GT61495239 | WA | MD | Genetic Counselor (M.S.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1013781962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4033 TALBOT RD S STE 450",
"city": "RENTON",
"state": "WA",
"postal_code": "980555767",
"telephone_number": "425-690-3477",
"fax_number": "425-690-9477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4033 TALBOT RD S STE 450",
"city": "RENTON",
"state": "WA",
"postal_code": "980555767",
"telephone_number": "425-690-3477",
"fax_number": "425-690-9477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JESIKA",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-10",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "WA",
"license": "GT61495239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "SMITH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.