Individual provider Active NPI

Jovan Rashaad Smith, NURSES AIDE

  • Home Health Agency
  • Nashville, TN
National Provider Identifier
1356760177
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
1079 Zophi St
Nashville, TN 37216-3031
Phone
(615) 857-2527
Fax
(858) 997-1244
NPI assigned
Apr 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1079 Zophi St
Nashville, TN 37216-3031

Mailing address

1079 Zophi St
Nashville, TN 37216-3031
Phone (901) 247-3704

Other practice location 1

3470 Clearbrook St.
Memphis, TN 38118
Phone (731) 483-9974

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1356760177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 ZOPHI ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163031",
            "telephone_number": "901-247-3704",
            "fax_number": "859-997-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 ZOPHI ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163031",
            "telephone_number": "615-857-2527",
            "fax_number": "858-997-1244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3470 Clearbrook St.",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38118",
            "country_code": "US",
            "telephone_number": "731-483-9974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOVAN",
        "middle_name": "RASHAAD",
        "credential": "NURSES AIDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.