Active NPI
Jillian R Smith, CRNA
- Certified Registered Nurse Anesthetist
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 725990
- Practice address
- 45 Reade PL
Poughkeepsie, NY 12601-3947 - Phone
- (845) 431-5629
- Fax
- (703) 890-2650
- NPI assigned
- May 31, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 200360008CRNA | OR | |
| Certified Registered Nurse Anesthetist | 367500000X | 054519 | ME | |
| Certified Registered Nurse Anesthetist | 367500000X | 725990 | NY | Primary |
Addresses
Primary practice location
45 Reade PL
Poughkeepsie, NY 12601-3947
Mailing address
11781 Lee Jackson Memorial Hwy
Suite 550
Fairfax, VA 22033-3309
Phone (571) 777-5173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 298058 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1980 Crompond Rd
Cortlandt Manor, NY 10567-4144
Phone (914) 737-9000
2080 S Clinton Ave
Rochester, NY 14618-5703
Phone (585) 271-2800
Hospital & facility affiliations
- Hudson Valley Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054519 | ME | MD | Certified Registered Nurse Anesthetist |
| 725990 | NY | MD | Certified Registered Nurse Anesthetist |
| 200360008CRNA | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Digestive Disease Consultants PLLC | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Hudson Health Anesthesia PLLC | Current | Accepting new patients | |
| Texas Digestive Disease Consultants PLLC | Current | Accepting new patients | |
| Bay Group Anesthesia Services, PC | Past | Accepting new patients |
Locations
1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
6 Front St
Newburgh, NY 12550
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
2080 S Clinton Ave
Rochester, NY 14618
Phone (585) 271-2800
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.
-
- Anesthesiology Physician
- Cortlandt Manor, NY
- NPI 1619633898
-
- Gastroenterology Physician
- Rochester, NY
- NPI 1568283422
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Gastroenterology Physician
- Covington, LA
- NPI 1295428415
-
- Anesthesiology Physician
- Coos Bay, OR
- NPI 1619920014
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cortlandt Manor, NY
- NPI 1881659274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1093752065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11781 LEE JACKSON MEMORIAL HWY",
"address_2": "SUITE 550",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333309",
"telephone_number": "571-777-5173",
"fax_number": "703-890-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 READE PL",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013947",
"telephone_number": "845-431-5629",
"fax_number": "703-890-2650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JILLIAN",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "200360008CRNA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "054519",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "725990",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "298058",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.