Jayne Smith

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

95003744 Issued in CA

Practice address

1201 Oakmont Rd Apt 196a
Seal Beach, CA 90740-3635

Phone

(310) 408-1763

NPI assigned

Apr 18, 2016

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

State licenses

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1740634690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 OAKMONT RD APT 196A",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907403635",
            "telephone_number": "310-408-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 OAKMONT RD APT 196A",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907403635",
            "telephone_number": "310-408-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAYNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "95003744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary Castelnau Siebens, MD
• Torunn E Sivesind, MD
• Sanford Jay Slater, PH.D.
• Douglas A Smith, MD
• Gaylyn Smith, PHARMD
• Nancy A Smith, MD
• Ravipan I Smith, D.D.S., M.S.
• Sandra Lee Smith, PH.D.
• Jill Terry Smittle, OD
• Dion Smotherman, LMFT

• Licensed Practical Nurse in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.