Jessica Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN-376733 Issued in OH

Practice address

1496 Tarkiln Rd SE
Lancaster, OH 43130-9006

Phone

(740) 415-3667

NPI assigned

Sep 21, 2018

Last updated

Sep 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Individual Practitioner

  • Nursing Care Agency
  • Lancaster, OH
  • NPI 1427580968
  NPD (past)

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1184108458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 W NORTHGATE PKWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436123322",
            "telephone_number": "614-638-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 TARKILN RD SE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431309006",
            "telephone_number": "740-415-3667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "642 W Northgate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436123322",
            "country_code": "US",
            "telephone_number": "614-638-6972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN-376733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Slicer, FNP
• Judith Ellen Smalley, P.T.
• Aaron Smith, CDCA
• Amanda Dawn Smith, PA
• Bethany Melva Smith, PA-C
• Jessica Omega Smith
• Katie Lynn Smith, OTR/L
• Kellie Smith, LSW
• Lance Smith
• Laura Smith

• Registered Nurse in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.