Individual provider Active NPI

Jennifer Gesine Smith, APRN

  • Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1770579765
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
110489 Issued in NE
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
110489NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Children's Health, P.C. Nurse Practitioner Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.