Jacqueline Marie Smith

Primary specialty

SpecialistTaxonomy code 174400000X

License

589485111 Issued in NY

Practice address

143 Boardman Rd
Poughkeepsie, NY 12603-4870

Phone

(845) 462-6701

NPI assigned

May 7, 2013

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• River Valley Speech and Language Intervention Services

  • Speech-Language Pathologist
  • Poughkeepsie, NY
  • NPI 1477789055
  NPD (past)

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1720423502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 BOARDMAN RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126034870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 BOARDMAN RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126034870",
            "telephone_number": "845-462-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "589485111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea M Smith, PMHNP-BC
• Aurel Smith
• Darryl Dwayne Smith, D.O.
• Denise Smith
• Ellen M Smith, LCSW
• Jillian R Smith, CRNA
• Julia Helen Smith, MHC
• Karen D. Smith, MS, OTR
• Kelsey Smith
• Kimberly Dianne Smith, LPN

• Specialist in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.