Jolene Rose Smith, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00018366 Issued in WA

Practice address

1710 19TH Dr NE
Auburn, WA 98002-3467

Phone

(206) 235-3689

NPI assigned

Feb 9, 2007

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

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1760523880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 19TH DR NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980023467",
            "telephone_number": "206-235-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 19TH DR NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980023467",
            "telephone_number": "206-235-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOLENE",
        "middle_name": "ROSE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00018366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "L7171549",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0190441",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheri L Smith, M ED, LMHC
• Connor Michael Smith, RD
• Donna E Smith, MD
• Gabriel Junghoon Smith
• Jeannie Y Smith, PHARMD
• Keri Smith
• Kevin Smith, LMP
• Riley Smith, RDN
• Steven Dwane Smith, DO
• Trista Elizabeth Smith, AUD, CCC-A

• Massage Therapist in Auburn, WA
• Providers in Auburn, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.