Jean M Richardson-Smith, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110840622 Issued in VA

Practice address

Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708

Phone

(757) 953-2883

Fax

(757) 953-0851

NPI assigned

Jul 13, 2006

Last updated

Mar 7, 2023By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science, Physician Assistant

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.

• Virginia Em-I Medical Services, PC

  • Emergency Medicine Physician
  • Petersburg, VA
  • NPI 1447201744
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609891282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVAL MEDICAL CENTER PORTSMOUTH",
            "address_2": "620 JOHN PAUL JONES CIRCLE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23708",
            "telephone_number": "757-953-2883",
            "fax_number": "757-953-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL MEDICAL CENTER PORTSMOUTH",
            "address_2": "620 JOHN PAUL JONES CIRCLE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23708",
            "telephone_number": "757-953-2883",
            "fax_number": "757-953-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON-SMITH",
        "first_name": "JEAN",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-03-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110840622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010082935",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Lynn Riblet, M.D.
• Rice Dentistry of Portsmouth PC
• Doris M Rice, M.D.
• Kelley Rice
• Andre L. Richards Sr., MAC, SAP, CCS, CSAC
• Richbell Enterprises (RichLife Behavior Consulting)
• Bobbi J Richbourg, MSW
• Rileigh Tenae Ricken
• Alek Rickman, DO
• Rhonda Harsley Ricks, LMT

• Physician Assistant in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.