Active NPI
Jacqueline Alanna Smith, AU.D.
- Audiologist
- Aurora, CO
National Provider Identifier
1811265531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 640
- Practice address
- 1399 S Havana St
Suite 102
Aurora, CO 80012-4020 - Phone
- (303) 337-9699
- Fax
- (303) 337-9546
- NPI assigned
- Dec 8, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 640 | CO | Primary |
Addresses
Primary practice location
1399 S Havana St
Suite 102
Aurora, CO 80012-4020
Mailing address
200 Plaza Dr Ste 110
Highlands Ranch, CO 80129-2348
Phone (720) 627-6378
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 |
|---|---|---|---|
| 640 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1811265531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PLAZA DR STE 110",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292348",
"telephone_number": "720-627-6378",
"fax_number": "844-368-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1399 S HAVANA ST",
"address_2": "SUITE 102",
"city": "AURORA",
"state": "CO",
"postal_code": "800124020",
"telephone_number": "303-337-9699",
"fax_number": "303-337-9546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JACQUELINE",
"middle_name": "ALANNA",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-08",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CO",
"license": "640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.