Jenelle Smith

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

021179 Issued in NY

Practice address

31 Irvington Rd
Rochester, NY 14620-4111

Phone

(585) 802-1280

NPI assigned

Jul 23, 2008

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

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1760647341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 IRVINGTON RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 IRVINGTON RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204111",
            "telephone_number": "585-802-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "021179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamison Leigh Smith
• Jasmine Smith, LPN
• Jason Andrew Smith
• Jason Richard Smith, PHARMD
• Jay'Ana Smith
• Jennifer Camille Smith, LPN
• Jeremy D Smith, MD
• Jeremy J Smith
• Jessica Smith
• Jholena Smith, LPN

• Massage Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.