Judith Lee Smith, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

16304 Issued in CA

Practice address

4150 Clement St # 181HBPC
San Francisco, CA 94121

Phone

(415) 750-2045

Fax

(415) 379-5512

NPI assigned

Aug 23, 2006

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

James Petros MD IncGroup PAC ID 0941479216, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• James Petros, M.D., Inc.

  • Physical Medicine & Rehabilitation Physician
  • Los Gatos, CA
  • NPI 1336448299
  Medicare reassignment Care Compare group NPD
• Integrated Pain Management Medical Group, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Walnut Creek, CA
  • NPI 1922198779
  NPD
• James Petros, M.D., Inc.

  • Physical Medicine & Rehabilitation Physician
  • San Leandro, CA
  • NPI 1710620554
  NPD
• San Francisco VA Medical Center

  • VA Clinic/Center
  • San Francisco, CA
  • NPI 1386948172
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1588770226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 DIAPIAN BAY",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945027910",
            "telephone_number": "510-506-1732",
            "fax_number": "415-379-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 CLEMENT ST # 181HBPC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94121",
            "telephone_number": "415-750-2045",
            "fax_number": "415-379-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JUDITH",
        "middle_name": "LEE",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "16304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lorraine Smith
• Jessica Serra Smith
• Jonathan Edward Smith, RPH
• Jordan Benjamin Smith
• Josephine E Smith, ANMT
• Kaitlin Smith
• Kaleb R Smith, PHDC, MATP
• Karlye D Smith
• Kate Smith
• Katherine Whitney Smith, MD

• Family Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.