Jonathan Lamont Smith

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

S530435488908 Issued in MI

Practice address

591 N. Shaw LN.
East Shaw Hall E155
East Lansing, MI 48825

Phone

(248) 227-8921

NPI assigned

Oct 2, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1043795453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34015 LYNCROFT ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 N. SHAW LN.",
            "address_2": "EAST SHAW HALL E155",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48825",
            "telephone_number": "248-227-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JONATHAN",
        "middle_name": "LAMONT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "S530435488908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna M Smith, PA
• Dilyn Naomi Smith, OTR
• Duane M Smith, M.D.
• Imani Orina Smith
• Jalal Smith
• Kellie-Jo Marie Smith
• Langston Smith
• Logan Smith, PHD
• Makayla Smith
• Rachel Benner Smith, M.A., CCC-SLP

• Student in an Organized Health Care Education/Training Program in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Student in an Organized Health Care Education/Training Program in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.