Active NPI
Jeff R. Smith, RN, MS, MHR
- Counselor
- Norman, OK
National Provider Identifier
1649595976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 320 12TH Ave NE
Norman, OK 73071-5238 - Phone
- (405) 773-3819
- NPI assigned
- Mar 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Registered Nurse | 163W00000X | 56996 | OK | |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
320 12TH Ave NE
Norman, OK 73071-5238
Mailing address
1384 Classen Blvd
Norman, OK 73071-4653
Phone (405) 412-7183
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
- Credentials
- Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56996 | OK | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1649595976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1384 CLASSEN BLVD",
"city": "NORMAN",
"state": "OK",
"postal_code": "730714653",
"telephone_number": "405-412-7183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 12TH AVE NE",
"city": "NORMAN",
"state": "OK",
"postal_code": "730715238",
"telephone_number": "405-773-3819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JEFF",
"middle_name": "R.",
"credential": "RN, MS, MHR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-30",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "56996",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.