Jennifer Smith

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

69916 Issued in TN

Practice address

340 Billy Ridge Rd
Jamestown, TN 38556-5947

Phone

(931) 704-4796

NPI assigned

Feb 5, 2022

Last updated

Feb 5, 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 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": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1548914948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BILLY RIDGE RD",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385565947",
            "telephone_number": "931-704-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BILLY RIDGE RD",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385565947",
            "telephone_number": "931-704-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "69916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Baldwin Robertson, DDS
• Laquita Lynne Sandman, NP
• Micah Sellew
• Christopher Samuel Sewell, M.D.
• Sisco Family Dentistry (Jamestown Family Dentistry)
• Jordan D Smith, O.D.
• Kelvin Russell Smith II, PT, DPT
• Misty Dawn Smith
• Travis Dean Smith
• State of Tennessee (Fentress County Health Department)

• Licensed Practical Nurse in Jamestown, TN
• Providers in Jamestown, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.