Active NPI
Georgia Jaquette Smith, RN, OCN
- Oncology Registered Nurse
- Eau Claire, WI
National Provider Identifier
1154639359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Registered Nurse
- License
- 166730-030
- Practice address
- 1720 Harding Ave Ste 1
Eau Claire, WI 54701-4861 - Phone
- (715) 461-0463
- NPI assigned
- Sep 22, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Vascular & Interventional Radiology Physician
- Alexandria, MN
- NPI 1386601383
-
- Neurological Surgery Physician
- Alexandria, MN
- NPI 1679838023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166730-030 | WI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical X-Ray Consultants, LTD | Current | Accepting new patients | |
| Medical Xray Consultants, LTD | Current | Accepting new patients |
Locations
1720 Harding Ave
Ste 1
Eau Claire, WI 54701
Phone (715) 461-0463
900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 166730-030 | WI | |
| Oncology Registered Nurse | 163WX0200X | 166730-030 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1720 Harding Ave Ste 1
Eau Claire, WI 54701-4861
Mailing address
1720 Harding Ave Ste 1
Eau Claire, WI 54701-4861
Phone (715) 461-0463
Other practice location 1
900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone (715) 461-0463
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | georgia.smith@radpartners.com | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2022.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1154639359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 HARDING AVE STE 1",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547014861",
"telephone_number": "715-461-0463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 HARDING AVE STE 1",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547014861",
"telephone_number": "715-461-0463"
}
],
"practiceLocations": [
{
"address_1": "900 W Clairemont Ave",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547016122",
"country_code": "US",
"telephone_number": "715-461-0463",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "GEORGIA",
"middle_name": "JAQUETTE",
"credential": "RN, OCN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-22",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "166730-030",
"primary": false
},
{
"code": "163WX0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Oncology",
"state": "WI",
"license": "166730-030",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "georgia.smith@radpartners.com",
"affiliation": "N",
"endpointDescription": "Secure PHI-Protected Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PHI-Protected Email",
"address_1": "1720 Harding Ave Ste 1",
"city": "Eau Claire",
"state": "WI",
"country_code": "US",
"postal_code": "547014861",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.