Jessica Smith, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024168811 Issued in VA

Practice address

15 E Clay St
Salem, VA 24153-3758

Phone

(540) 378-0190

Fax

(540) 387-0584

NPI assigned

Sep 5, 2007

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)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Sunbury Primary Care, P.a.

  • Family Medicine Physician
  • Bangor, ME
  • NPI 1437242294
  NPD (past)
• Sunbury Primary Care, P.a.

  • Family Medicine Physician
  • Bangor, ME
  • NPI 1508939398
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1639363401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E CLAY ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533758",
            "telephone_number": "540-378-0190",
            "fax_number": "540-387-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E CLAY ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533758",
            "telephone_number": "540-378-0190",
            "fax_number": "540-387-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody H Smith
• Daniel Julian Smith, DO
• Destiny-Rayne Smith
• Elizabeth Ashley Smith
• Gregory K Smith, CRNA
• Joseph Froelich Smith, MD
• Joseph Kirby Smith, PHARM.D.
• Krystine N Smith, MT-BC
• Lindsay Paige Smith, PHARMD
• Mark Smith, M.D.

• Family Nurse Practitioner in Salem, VA
• Providers in Salem, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.