Active NPI
Jimmie Lee Smith
- Assisted Living Facility
- New Caney, TX
National Provider Identifier
1649898792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 144732
- Practice address
- 19874 N White Oak Dr
New Caney, TX 77357-6922 - Phone
- (281) 399-7654
- Fax
- (936) 261-7487
- NPI assigned
- Jul 6, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 144732 | TX | Primary |
Addresses
Primary practice location
19874 N White Oak Dr
New Caney, TX 77357-6922
Mailing address
19874 N White Oak Dr
New Caney, TX 77357-6922
Phone (281) 399-7654
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | bandjbookkeeping@swbell.net | Direct |
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 |
|---|---|---|---|
| 144732 | TX | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1649898792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19874 N WHITE OAK DR",
"city": "NEW CANEY",
"state": "TX",
"postal_code": "773576922",
"telephone_number": "281-399-7654",
"fax_number": "936-261-7487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19874 N WHITE OAK DR",
"city": "NEW CANEY",
"state": "TX",
"postal_code": "773576922",
"telephone_number": "281-399-7654",
"fax_number": "936-261-7487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JIMMIE",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-06",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TX",
"license": "144732",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "bandjbookkeeping@swbell.net",
"affiliation": "N",
"endpointDescription": "bandjbookkeeping@swbell.net",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "direct care rc home",
"address_1": "19874 N White Oak Dr",
"city": "New Caney",
"state": "TX",
"country_code": "US",
"postal_code": "773576922",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New Caney, TX
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- Mark Smith, CRNP
- Amber Snyder, MA, CCC/SLP
- South Fork Management and Consulting LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.