Jill Smith, C.PED

Primary specialty

SpecialistTaxonomy code 174400000X

License

CPED3467 Issued in NC

Practice address

1235 East Blvd
Suite K
Charlotte, NC 28203

Phone

(704) 335-4070

NPI assigned

Oct 15, 2010

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

Practice roles

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.

• Jill Rachele Enterprises, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Charlotte, NC
  • NPI 1811294671
  NPD (past) Authorized official
• Alcyone Retail Corp.

  • Durable Medical Equipment & Medical Supplies
  • Charlotte, NC
  • NPI 1023040888
  NPD (past)

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1194035808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 EAST BLVD",
            "address_2": "SUITE K",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035876",
            "telephone_number": "704-335-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 EAST BLVD",
            "address_2": "SUITE K",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28203",
            "telephone_number": "704-335-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JILL",
        "name_prefix": "Miss",
        "credential": "C.PED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "CPED3467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeralynn Livana Smith
• Jesse Noah Smith
• Jessica Smith, RN
• Jessica Griswold Smith, LCSW
• Jhazmine Khiari Smith
• Joanna Smith
• Jocelyn Latrice Smith, PHLEBOTOMIST
• John Frank Smith, LCASA
• Joshua Charles Smith, NP
• Joshua Robert Smith, MD

• Specialist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.