Jesse Enoch Smith, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN-0994197-NP Issued in CO

Practice address

182 16TH St
Burlington, CO 80807-1649

Phone

(719) 346-9481

Fax

(719) 346-9485

NPI assigned

Oct 17, 2018

Last updated

Oct 17, 2018By the provider in NPPES

Sex

Male

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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kit Carson County Health Services District

  dba Parke Health Center

  • Rural Health Clinic/Center
  • Burlington, CO
  • NPI 1932211596
  Medicare reassignment NPD
• Kit Carson County Health Services District

  dba Stratton Medical Clinic

  • Rural Health Clinic/Center
  • Stratton, CO
  • NPI 1124122403
  NPD

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1174099170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 16TH ST",
            "city": "BURLINGTON",
            "state": "CO",
            "postal_code": "808071649",
            "telephone_number": "719-346-9481",
            "fax_number": "719-346-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 16TH ST",
            "city": "BURLINGTON",
            "state": "CO",
            "postal_code": "808071649",
            "telephone_number": "719-346-9481",
            "fax_number": "719-346-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSE",
        "middle_name": "ENOCH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN-0994197-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Schaal Physical Therapy and Fitness
• Jennifer Lynn Schaal, PT,DPT,ATC
• Jessica Schart, MSW
• Linnea R Schroeder, PAC
• Jason A Sizer, PHARM-D
• Donna Tatkenhorst
• Soraya Lee Taylor
• Sydney Terrell, LPC
• Thecoollineorg (Marriage and Family Institute of Colorado)
• Amanda Thew, LCSW

• Family Nurse Practitioner in Burlington, CO
• Providers in Burlington, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.