Active NPI
Jennifer Gesine Smith, APRN
- Nurse Practitioner
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 110489
- Practice address
- 1336 W a St Ste B
Lincoln, NE 68522-1231 - Phone
- (402) 465-5600
- Fax
- (402) 327-6074
- NPI assigned
- Sep 23, 2005
- Last updated
- Mar 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 110489 | NE | Primary |
| Family Nurse Practitioner | 363LF0000X | 110489 | NE |
Addresses
Primary practice location
1336 W a St Ste B
Lincoln, NE 68522-1231
Mailing address
8201 Northwoods Dr
Lincoln, NE 68505-3092
Phone (402) 465-5600
Other practice location 1
8201 Northwoods Dr
Lincoln, NE 68505-3092
Phone (402) 465-5600
Other practice location 2
3262 Salt Creek Cir
Lincoln, NE 68504-4761
Phone (402) 465-5600
Other practice location 3
4020 Hohensee Dr
Lincoln, NE 68516-3927
Phone (402) 465-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110489 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Children's Health, P.C. | Nurse Practitioner | Past | Accepting new patients |
Interoperability endpoints
- jsmith@cch-neb.opdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1770579765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 NORTHWOODS DR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685053092",
"telephone_number": "402-465-5600",
"fax_number": "402-327-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1336 W A ST STE B",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685221231",
"telephone_number": "402-465-5600",
"fax_number": "402-327-6074"
}
],
"practiceLocations": [
{
"address_1": "8201 Northwoods Dr",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685053092",
"country_code": "US",
"telephone_number": "402-465-5600",
"fax_number": "402-327-6074",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3262 Salt Creek Cir",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685044761",
"country_code": "US",
"telephone_number": "402-465-5600",
"fax_number": "402-327-6074",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4020 Hohensee Dr",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685163927",
"country_code": "US",
"telephone_number": "402-465-5600",
"fax_number": "402-327-6074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "JENNIFER",
"middle_name": "GESINE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-23",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "110489",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "110489",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.