Jahanna Nicole Smith

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

12379 Issued in MA

Practice address

299 Carpenter St Unit 304
Providence, RI 02909-1400

Phone

(401) 450-2515

NPI assigned

Jul 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1407262744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 CARPENTER ST UNIT 304",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091400",
            "telephone_number": "401-450-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CARPENTER ST UNIT 304",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091400",
            "telephone_number": "401-450-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAHANNA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT01738",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "12379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniella Marie Smith, RN
• Diane Jean Smith, ADULT NURSE PRACTITI
• Donna R Smith, CRNA
• Elizabeth Z Smith, FNP
• Heather A Smith, MD, MPH
• Jean F Smith, MD
• Jeanne Marie Smith, LICSW
• Jennifer Smith, OTR
• Jessica Leigh Smith, MD
• Jonathan James Smith, M.S.W.

• Occupational Therapist in Providence, RI
• Providers in Providence, RI by specialty
• Occupational Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.