Jeannie Smith

Primary specialty

SpecialistTaxonomy code 174400000X

License

0019004099 Issued in VA

Practice address

813 Forrest Dr
Ste D-1
Newport News, VA 23606-4513

Phone

(757) 287-6135

NPI assigned

Sep 15, 2015

Sex

Female

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1326416843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LAMPER RD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237011115",
            "telephone_number": "757-287-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 FORREST DR",
            "address_2": "STE D-1",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064513",
            "telephone_number": "757-287-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEANNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0019004099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Michael Smith
• David Michael Smith, MD
• Deandra Smith, RBT
• Elizabeth Harmon Smith
• Indiah Smith
• Jennifer P. Smith, LMFT
• Kimberly L Smith, M.D.
• Kristin S Smith
• Lindsay Smith, PT
• Marcus James Smith, MD

• Specialist in Newport News, VA
• Providers in Newport News, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.