Individual provider Active NPI

Jacqueline M Smithers, CNM

  • Advanced Practice Midwife
  • Salt Lake City, UT
National Provider Identifier
1356302624
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
224404-4402 Issued in UT
Practice address
7084 S 2300 E
Ste 110
Salt Lake City, UT 84121-3975
Phone
(801) 733-0555
Fax
(801) 733-0555
NPI assigned
Mar 28, 2006
Last updated
Jun 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 224404-4402 UT Primary

Addresses

Primary practice location

7084 S 2300 E
Ste 110
Salt Lake City, UT 84121-3975

Mailing address

7084 S 2300 E
Ste 110
Salt Lake City, UT 84121-3975
Phone (801) 733-0555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
224404-4402UTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D. Smithers, D.C., P.C. PastSince Jun 30, 2016 Accepting new patients
Spine Care Center, LLC PastSince Sep 18, 2006 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1356302624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7084 S 2300 E",
            "address_2": "STE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213975",
            "telephone_number": "801-733-0555",
            "fax_number": "801-942-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7084 S 2300 E",
            "address_2": "STE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213975",
            "telephone_number": "801-733-0555",
            "fax_number": "801-733-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHERS",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "224404-4402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.