Organization Active NPI

Smart Comprehensive Health, PLLC

Doing business as Smart Comprehensive Health

  • Primary Care Clinic/Center
  • Kennewick, WA
National Provider Identifier
1346814423
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SMART COMPREHENSIVE HEALTH, PLLC
Doing business as
Smart Comprehensive Health
Practice address
811 S Auburn St
Kennewick, WA 99336-5661
Phone
(509) 866-4145
Fax
(509) 866-4146
NPI assigned
May 13, 2021
Last updated
Aug 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Jennifer Cardel Balde, MDNPI 1407170715
Title
Owner
Phone
(509) 866-4145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

811 S Auburn St
Kennewick, WA 99336-5661

Mailing address

PO Box 2928
Pasco, WA 99302-2928
Phone (646) 202-0278

Other identifiers 1

IdentifierTypeStateIssuer
604-732-714OtherWAUBIN

Other names 1

  • SMART COMPREHENSIVE HEALTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210727000903 WA Part B Supplier - Clinic/Group Practice 2365845401 Receives reassigned benefits from 1 practitioner
Practice locations: Kennewick, WA

National Provider Directory

National Provider Directory

Locations

811 S Auburn St
Kennewick, WA 99336
Phone (509) 586-9187

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1346814423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2928",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993022928",
            "telephone_number": "646-202-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365661",
            "telephone_number": "509-866-4145",
            "fax_number": "509-866-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART COMPREHENSIVE HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "BALDE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CARDEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-866-4145",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBIN",
            "identifier": "604-732-714",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMART COMPREHENSIVE HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMART COMPREHENSIVE HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.