Active NPI
Jennifer L Smith, MD
- Internal Medicine Physician
- Richland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD60128121
- Practice address
- 560 Gage Blvd Ste 101&206
Richland, WA 99352-8650 - Phone
- (509) 942-3286
- Fax
- (509) 628-1354
- NPI assigned
- Apr 16, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 059204 | GA | |
| Internal Medicine Physician | 207R00000X | MD60128121 | WA | Primary |
Addresses
Primary practice location
560 Gage Blvd Ste 101&206
Richland, WA 99352-8650
Mailing address
550 Gage Blvd Ste 101
Richland, WA 99352-9532
Phone (509) 946-4611
Other practice location 1
3730 Plaza Way
Kennewick, WA 99338-2718
Phone (509) 221-6333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Medical School at Houston, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
560 Gage Blvd
Suite 102
Richland, WA 99352-9531
Phone (509) 942-3135
Hospital & facility affiliations
- Tri-Cities Home Health
- Columbia River Home Health
- Tri-Cities Chaplaincy Hospice
- Kadlec Regional Medical Center
- Trios Health
- Lourdes Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Internal Medicine | Current | Accepting new patients |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| RCCH Trios Health LLC | Internal Medicine | Current | Accepting new patients |
Locations
900 S Auburn St
Kennewick, WA 99336
Phone (509) 586-5111
3730 Plaza Way
Kennewick, WA 99338
Phone (509) 221-6350
216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520
560 Gage Blvd
Ste 101206
Richland, WA 99352
Phone (509) 942-3286
550 Gage Blvd
Ste 101
Richland, WA 99352
1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300
560 Gage Blvd
Ste 101
Richland, WA 99352
Phone (509) 628-2843
560 Gage Blvd
Ste 102
Richland, WA 99352
Phone (509) 628-1911
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
Interoperability endpoints
- jsmith1279619@wm.providencedirect.org
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.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
Internal Medicine
-
- Internal Medicine Physician
- Kennewick, WA
- NPI 1831682806
-
- Nurse Practitioner
- Richland, WA
- NPI 1992070346
-
- Plastic Surgery Physician
- Richland, WA
- NPI 1235471954
-
- Rehabilitation Hospital Unit
- Richland, WA
- NPI 1790319580
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kennewick, WA
- NPI 1699263079
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- Critical Access Hospital
- Pasco, WA
- NPI 1831284280
-
- General Acute Care Hospital
- Kennewick, WA
- NPI 1578058137
-
- Inpatient Hospice
- Richland, WA
- NPI 1407891088
-
- Home Health Agency
- Kennewick, WA
- NPI 1679547244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1134344286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 GAGE BLVD STE 101",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993529532",
"telephone_number": "509-946-4611",
"fax_number": "509-627-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 GAGE BLVD STE 101&206",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993528650",
"telephone_number": "509-942-3286",
"fax_number": "509-628-1354"
}
],
"practiceLocations": [
{
"address_1": "3730 Plaza Way",
"address_purpose": "LOCATION",
"city": "Kennewick",
"state": "WA",
"postal_code": "993382718",
"country_code": "US",
"telephone_number": "509-221-6333",
"fax_number": "509-221-6230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "059204",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60128121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.
- 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.