Cjardae Smith

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CL1189139 Issued in FL

Practice address

1650 Art Museum Dr Ste 11
Jacksonville, FL 32207-2188

Phone

(904) 877-0800

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1275274292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 ART MUSEUM DR STE 11",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072188",
            "telephone_number": "904-877-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 ART MUSEUM DR STE 11",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072188",
            "telephone_number": "904-877-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CJARDAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "CL1189139",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "CL1189139",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "CL1189139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cjardae@artofhairjax.com",
            "affiliation": "N",
            "address_1": "1650 Art Museum Dr Ste 11",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322072188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Celestine Demetrich Smith, ARNP
• Cheyenne Elizabeth Smith
• Chikita Domonique Smith, APRN
• Christene Oksana Nicole Smith
• Christopher Lee Smith, DO
• Clarissa Kelly Smith
• Cleopatra Sareah Smith, BS
• Cloe Smith
• Connie Smith
• Connor Jameson Smith, PA-C

• Prosthetic/Orthotic Supplier in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.