Jeanette Smith

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

665893 Issued in CA

Practice address

688 W Escalon Ave
Fresno, CA 93704-1408

Phone

(559) 438-4749

NPI assigned

May 27, 2008

Last updated

May 27, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1689832701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 W ESCALON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041408",
            "telephone_number": "559-438-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 W ESCALON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041408",
            "telephone_number": "559-438-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEANETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "665893",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "665893",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL PIN",
            "identifier": "7728336",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL INP PROVIDER NUMBER",
            "identifier": "EPS013980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genevieve Faye Smith, ARNP
• Gregory Alan Smith, MD
• H Dan Smith, MFT
• Jamie Smith
• Jared Smith, LCSW
• Jeffery Smith
• Jennifer Toler Smith, PSY.D.
• Jerry Smith, MD
• Jervy William Smith, OD
• Juanita Rachel Smith, RN

• Registered Nurse in Fresno, CA
• Providers in Fresno, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.