Jimmie Allen Smith III

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2490 Lee Blvd
Cleveland Heights, OH 44118-1268

Phone

(216) 678-9500

NPI assigned

Apr 26, 2019

Last updated

Apr 26, 2019By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1265096085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 LEE BLVD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181268",
            "telephone_number": "216-678-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 LEE BLVD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181268",
            "telephone_number": "216-678-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "393 Heatherbridge Ln",
            "address_purpose": "LOCATION",
            "city": "Blacklick",
            "state": "OH",
            "postal_code": "430049278",
            "country_code": "US",
            "telephone_number": "740-975-2205 x74097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JIMMIE",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skin Care Specialists
• Domonique Pierce Slay I, LMT
• Bailey Smith, PA-C
• Brittany J Smith, NP
• Cholea Tarah Smith
• Kevin Smith, LMT
• Michelle Smith, SWT
• Monica Louise Smith
• Tamia Shanyne Smith, RN
• Yoande Smith, PMHNP

• Case Manager/Care Coordinator in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.