Jennifer Lynn Smith

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32001608A Issued in IN

Practice address

2819 N St Joe Ave
Evansville, IN 47720-1335

Phone

(812) 421-7317

NPI assigned

Jun 5, 2017

Last updated

Jun 5, 2017By 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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1568991438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11706 SAWMILL DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477258028",
            "telephone_number": "812-453-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 N ST JOE AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477201335",
            "telephone_number": "812-421-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32001608A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ashley Smith
• Heather Marie Smith
• Jae Smith, BSW, MATS
• Jenna K Smith, PHARMD
• Jenna Nicole Smith, WHNP
• Jessie Marie Smith
• Jill Suzanne Smith, MD
• Kayce Smith, LCSW
• Kaytlin Nicole Galloway Smith, PT, DPT
• Matthew Smith, DDS

• Occupational Therapy Assistant in Evansville, IN
• Providers in Evansville, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.