Jessica Marie Smith, MSN, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

30550 Issued in TN

Practice address

961 Spring Creek Rd Ste 202
East Ridge, TN 37412-3976

Phone

(423) 899-6511

NPI assigned

Oct 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jessica.smith@571421882843140.direct.elationemr.com
• Direct secure messaging: jessica.smith.1@7634.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lotus Women'S Center

  • Women's Health Nurse Practitioner
  • Chattanooga, TN
  • NPI 1811688765
  NPD (past)
• OB-GYN Centre of Excellence PC

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
  • NPI 1699796169
  NPD (past)

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1821712985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6960 PARK DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217011",
            "telephone_number": "404-797-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 SPRING CREEK RD STE 202",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374123976",
            "telephone_number": "423-899-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "MSN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN269644",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "30550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scenic City Healthcare of Tennessee, LLC
• Scenic City OB GYN Inc
• Jane Schultz, PHARM.D
• Donna Schwinn, PHARMD
• Adina Marie Sippel, CNM, MS, RN
• Rebecca Leigh Smith, OT
• Amin Sohani, NP-C
• Southern Care Staffing LLC
• Star Medical Supply, Inc
• Kimberly Sue Strickland, DPT

• Women's Health Nurse Practitioner in East Ridge, TN
• Providers in East Ridge, TN by specialty
• Women's Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.