Jessica Smith

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

781841 Issued in NY

Practice address

8416 Avon St
Jamaica, NY 11432-2302

Phone

(860) 941-7667

NPI assigned

Nov 20, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1033755442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8416 AVON ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8416 AVON ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322302",
            "telephone_number": "860-941-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "781841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Smith
• Donna Marie Smith
• Ellen Crystal Smith
• Erika Smith
• Ionie D Smith
• Lemonia M Smith
• Lynn Sara Smith, RN,NP
• Patricia V Smith, NP
• Reaghan T Smith, LMHC
• Robert Henry Smith, MD

• Registered Nurse in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.