Active NPI
Jude Smith, FNP
- Family Nurse Practitioner
- Des Moines, IA
National Provider Identifier
1073291258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 143865
- Practice address
- 500 SW 7TH St Ste 304
Des Moines, IA 50309-4583 - Phone
- (888) 562-5442
- NPI assigned
- Jul 7, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 143865 | IA | Primary |
Addresses
Primary practice location
500 SW 7TH St Ste 304
Des Moines, IA 50309-4583
Mailing address
200 Oceangate Ste 100
Long Beach, CA 90802-4317
Phone (888) 562-5442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, WA, MI, WI, IL, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Molina Healthcare of Washington, Inc | Current | Accepting new patients | |
| Molina Healthcare of Washington, Inc | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920
15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727
Interoperability endpoints
- jsmith14981@direct-prd.molinahealthcare.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Family Medicine Physician
- Everett, WA
- NPI 1912235060
-
- Family Medicine Physician
- Bothell, WA
- NPI 1659897163
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1073291258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OCEANGATE STE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024317",
"telephone_number": "888-562-5442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SW 7TH ST STE 304",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503094583",
"telephone_number": "888-562-5442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JUDE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-07",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "143865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.