Active NPI
Jennifer Elizabeth Smith
- School Psychologist
- Staunton, VA
National Provider Identifier
1629761754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3001024603
- Practice address
- 1751 Shutterlee Mill Rd
Staunton, VA 24401-1709 - Phone
- (540) 332-3934
- NPI assigned
- Jun 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3001024603 | WI | Primary |
Addresses
Primary practice location
1751 Shutterlee Mill Rd
Staunton, VA 24401-1709
Mailing address
4 Brandon Ladd Cir
Waynesboro, VA 22980-3221
Phone (262) 951-5286
Other practice location 1
1101 N Coalter St
Staunton, VA 24401-2506
Phone (540) 332-3936
Other practice location 2
1301 N Coalter St
Staunton, VA 24401-2537
Phone (540) 332-3926
Other practice location 3
300 Grubert Ave
Staunton, VA 24401-2947
Phone (540) 332-3930
Other practice location 4
330 Grubert Ave
Staunton, VA 24401-2947
Phone (540) 332-3938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3001024603 | WI | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1629761754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 BRANDON LADD CIR",
"city": "WAYNESBORO",
"state": "VA",
"postal_code": "229803221",
"telephone_number": "262-951-5286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 SHUTTERLEE MILL RD",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244011709",
"telephone_number": "540-332-3934"
}
],
"practiceLocations": [
{
"address_1": "1101 N Coalter St",
"address_purpose": "LOCATION",
"city": "Staunton",
"state": "VA",
"postal_code": "244012506",
"country_code": "US",
"telephone_number": "540-332-3936",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1301 N Coalter St",
"address_purpose": "LOCATION",
"city": "Staunton",
"state": "VA",
"postal_code": "244012537",
"country_code": "US",
"telephone_number": "540-332-3926",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Grubert Ave",
"address_purpose": "LOCATION",
"city": "Staunton",
"state": "VA",
"postal_code": "244012947",
"country_code": "US",
"telephone_number": "540-332-3930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "330 Grubert Ave",
"address_purpose": "LOCATION",
"city": "Staunton",
"state": "VA",
"postal_code": "244012947",
"country_code": "US",
"telephone_number": "540-332-3938",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "JENNIFER",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-02",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WI",
"license": "3001024603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staunton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.