Jerry Scott Smith

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS5373 Issued in FL

Practice address

201 S Kings Ave
Brandon, FL 33511-5712

Phone

(813) 681-4046

NPI assigned

May 17, 2019

Last updated

May 17, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1295391993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115712",
            "telephone_number": "813-681-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115712",
            "telephone_number": "813-681-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JERRY",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chasity Marsha'E Smith-Pedersen
• Alison Ulsh Smith, M.S., CCC-SLP
• Amanda Smith
• Crystal Smith, APRN
• Erin Marie Smith, PSY.D.
• Katie Lynne Smith, MS, CCC-SLP
• Kelly M Smith, M.ED, SLP
• Kristina Smith
• Lainey Smith
• Leah Smith

• Hearing Instrument Specialist in Brandon, FL
• Providers in Brandon, FL by specialty
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.