Jeannetta Smith, BSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.310949 Issued in OH

Practice address

217 Greenbriar CT
Euclid, OH 44143-2403

Phone

(216) 269-4397

NPI assigned

Oct 23, 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

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1669015574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 GREENBRIAR CT",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441432403",
            "telephone_number": "216-269-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 GREENBRIAR CT",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441432403",
            "telephone_number": "216-269-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEANNETTA",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.310949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vennetta M Smith-Waller
• Alqwiesha T Smith
• Brittany Smith
• Brittany Nicole Smith
• Elithia Lakesha Smith
• Jennifer M Smith, LSW
• Leschanetta Smith
• Reva Smith
• Richaun Smith
• Ryan Louis Smith

• Registered Nurse in Euclid, OH
• Providers in Euclid, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.