Jonathan Lang Smith

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

4112 Shirley Dr
Memphis, TN 38109-4600

Phone

(901) 348-9985

NPI assigned

Jan 15, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Blessed Hands Veterans Assisted Living Facility

  • Assisted Living Facility
  • Memphis, TN
  • NPI 1508322488
  NPD (past) Authorized official

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1215401112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 SHIRLEY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381094600",
            "telephone_number": "901-348-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 SHIRLEY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381094600",
            "telephone_number": "901-348-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JONATHAN",
        "middle_name": "LANG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lehneman Smith
• Jessica Ann Smith, CRNA
• Jessie C Smith
• Jillian R Smith, CRNA
• Joanne Patricia Smith, O.D.
• Joseph Smith, COTA
• Joseph Charles Smith, MD
• Joshua W Smith, CRNA
• Judy L Smith, PHD
• Julie Ann Smith, MSN,ACNP, BC

• Nutritionist in Memphis, TN
• Providers in Memphis, TN by specialty
• Nutritionist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.