Jessica Annmarie Smith, CRAT

Primary specialty

Cardiology TechnicianTaxonomy code 246W00000X

Practice address

6612 Anthony Ave
Garden Grove, CA 92845-2208

Phone

(310) 514-6219

NPI assigned

Jun 2, 2020

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1124642442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6612 ANTHONY AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452208",
            "telephone_number": "310-514-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 ANTHONY AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452208",
            "telephone_number": "310-514-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "middle_name": "ANNMARIE",
        "name_prefix": "Mrs.",
        "credential": "CRAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246W00000X",
            "taxonomy_group": "",
            "desc": "Technician, Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Lee Smith
• Emma Smith
• Evelyn Eileen Smith
• Jacob Chandler Smith
• Jessica A Smith
• John Smith, R1585691024
• Kealani Smith
• Macy Erin Smith
• Nicole Patti Smith, COTA/L
• Paige Smith

• Cardiology Technician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Cardiology Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.