Jeremy Smith

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

026.0029617 Issued in VT

Practice address

1365 North St
Montpelier, VT 05602-9418

Phone

(802) 917-2723

NPI assigned

Aug 11, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1487329470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 NORTH ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056029418",
            "telephone_number": "802-917-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 NORTH ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056029418",
            "telephone_number": "802-917-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEREMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "026.0029617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Simmeth
• Joshua Ira Singer, L.AC.
• Janet Sluzenski
• Stephanie Mangano Smart, OTR
• Erika Anna Smith, RN
• Lacie I. Smith, MA
• Michelle L Somaini
• Patricia Himi Song, PH.D.
• Jamie Anne Spector, M.S.W.
• David C Spence, LCMHC

• Registered Nurse in Montpelier, VT
• Providers in Montpelier, VT by specialty
• Registered Nurse in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.