Jillian Schuchert Smith, PNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95030100 Issued in CA

Practice address

26705 Westvale Rd
Palos Verdes Peninsula, CA 90274-4047

Phone

(310) 872-7742

NPI assigned

Jun 21, 2024

Last updated

Jun 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1215771696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26705 WESTVALE RD",
            "city": "PALOS VERDES PENINSULA",
            "state": "CA",
            "postal_code": "902744047",
            "telephone_number": "310-872-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26705 WESTVALE RD",
            "city": "PALOS VERDES PENINSULA",
            "state": "CA",
            "postal_code": "902744047",
            "telephone_number": "310-872-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JILLIAN",
        "middle_name": "SCHUCHERT",
        "credential": "PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "95038675",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95030100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Ann Hendricks, PH.D.
• Michelle Jay Kim, NP
• Raina Moosa, PSY.D.
• Loree Pham, PHD, OTR/L
• Skywater Health
• Therapy Wherever You Are, a Psychological Corporation
• Westfield Health
• Marian J Wymore, M.D.
• Nancy Chiyeko Yoshiyama, PHARMD
• Roxanne Maanum Zilmer, MSPT, DPT, OCS

• Pediatric Nurse Practitioner in Palos Verdes Peninsula, CA
• Providers in Palos Verdes Peninsula, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.