Jessica Michelle Smith

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2013039119 Issued in MO

Practice address

1180 Old Jackson Rd
Farmington, MO 63640-3428

Phone

(573) 760-1700

Fax

(573) 760-1224

NPI assigned

Apr 6, 2023

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1134814239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4182 WARREN ST.",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "63628",
            "telephone_number": "573-482-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 OLD JACKSON RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403428",
            "telephone_number": "573-760-1700",
            "fax_number": "573-760-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2013039119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larissa Renee Slover, BS
• Smith Imaging Inc
• Derek James Smith, APRN, PMHNP-BC
• James A Smith, RN, CRNA
• Jamesy Charles Smith, D.O.
• John-Peyton Scott Smith
• Kenneth D Smith, MD
• Megan Lynn Smith, O.D.
• Morgan Lashay Smith
• Nicole Dawn Smith, BSW

• Registered Nurse in Farmington, MO
• Providers in Farmington, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.