Individual provider Active NPI

Georgia Jaquette Smith, RN, OCN

  • Oncology Registered Nurse
  • Eau Claire, WI
National Provider Identifier
1154639359
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Registered NurseTaxonomy code 163WX0200X
License
166730-030 Issued in WI
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.

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

LicenseStateTypeSpecialty
166730-030WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medical X-Ray Consultants, LTD CurrentSince Jan 1, 2023 Accepting new patients
Medical Xray Consultants, LTD CurrentSince Jul 21, 2024 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)CodeLicenseStatePrimary
Registered Nurse 163W00000X 166730-030 WI
Oncology Registered Nurse 163WX0200X 166730-030 WI Primary

Addresses

NPPES NPI Registry

Primary 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
TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.