Jamie Smith, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1823 Issued in HI

Practice address

1579 Ulupii St
Kailua, HI 96734-4444

Phone

(808) 447-9122

Fax

(888) 769-9120

NPI assigned

Oct 24, 2019

Last updated

Jul 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Thankfully Inspired, LLC

  • Speech-Language Pathologist
  • Kailua, HI
  • NPI 1740823707

  Physical Therapist

  NPD Authorized official

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1457994212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 ULUPII ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344444",
            "telephone_number": "808-447-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 ULUPII ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344444",
            "telephone_number": "808-447-9122",
            "fax_number": "888-769-9120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68-3668 Eleele Street",
            "address_purpose": "LOCATION",
            "city": "Waikoloa",
            "state": "HI",
            "postal_code": "96738",
            "country_code": "US",
            "telephone_number": "808-651-5766",
            "fax_number": "888-769-9120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMIE",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2022-07-11",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "5335",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "221622",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "1823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Marie Smarduch
• Daryl Anne Smith-Oswald, RD
• Alex Kenji Smith
• Daniel Douglas Smith, M.D.
• Erin R Smith, MD
• Julie Grimes Smith, MS CCC-SLP
• Kevin Gary Smith, RN
• Kylee Ai Smith
• Nathaniel Brooks Smith, LCSW
• Renee Marie Smith, RBT

• Speech-Language Pathologist in Kailua, HI
• Providers in Kailua, HI by specialty
• Speech-Language Pathologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.