Jacob Smith

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

P567804 Issued in NC

Practice address

248 Star Hill Dr
Cape Carteret, NC 28584-8933

Phone

(858) 386-2580

NPI assigned

Aug 27, 2026

Sex

Male

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

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1760390249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 STAR HILL DR",
            "city": "CAPE CARTERET",
            "state": "NC",
            "postal_code": "285848933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 STAR HILL DR",
            "city": "CAPE CARTERET",
            "state": "NC",
            "postal_code": "285848933",
            "telephone_number": "858-386-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NC",
            "license": "P567804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Lynn Saracina, D.C.
• Kelly Jean Sasse, RPH
• Jeffrey Hampton Scott, DDS
• Deidra Lauren Wood Sisk, MS, RDN, LDN
• Karen Ruth Skarda, MD
• Sound Medical, P.a.
• Raymond L Thomas, MD
• Walgreen Co
• Robert Henri Wauters, M.D.
• Beau Judson Willsey, LMBT

• Basic Emergency Medical Technician in Cape Carteret, NC
• Providers in Cape Carteret, NC by specialty
• Basic Emergency Medical Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.