Jacqueline Brooks Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN575854 Issued in PA

Practice address

3570 Cherry Run Rd
Rimersburg, PA 16248-5628

Phone

(814) 319-3598

NPI assigned

Jun 3, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1639737810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 CHERRY RUN RD",
            "city": "RIMERSBURG",
            "state": "PA",
            "postal_code": "162485628",
            "telephone_number": "814-319-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 CHERRY RUN RD",
            "city": "RIMERSBURG",
            "state": "PA",
            "postal_code": "162485628",
            "telephone_number": "814-319-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACQUELINE",
        "middle_name": "BROOKS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN575854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Kay Hepler, PA-C
• Klingensmith Rimersburg Inc.
• Klingensmith Rimersburg Inc.
• Misty McCullough
• Lydi Ann Montgomery, RPH
• Southern Clarion County Volunteer Ambulance Service
• Union School District

• All providers in Rimersburg, PA
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.