Jill Raye Smith

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

29499 Issued in WV

Practice address

411 N State Route 2
New Martinsville, WV 26155-2711

Phone

(304) 455-5515

NPI assigned

Jun 19, 2023

Last updated

Jun 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Wetzel County Homecare, LLC

  dba Wetzel County HomeCare

  • Home Health Agency
  • New Martinsville, WV
  • NPI 1497959944
  NPD

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1841975869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "HANNIBAL",
            "state": "OH",
            "postal_code": "439310087",
            "telephone_number": "304-435-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N STATE ROUTE 2",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552711",
            "telephone_number": "304-455-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JILL",
        "middle_name": "RAYE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "29499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "desktop/tablet",
            "affiliation": "N",
            "address_1": "411 N State Route 2",
            "city": "New Martinsville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261552711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anita Shaffer
• Larry D Sine
• Phillip Kenneth Slampak, DPM
• Lisa Jo Slie, MSW, LGSW
• Jeffery Smith
• Kathy Lynn Smith
• Lamon Smith
• Madlyne Marlene Smith
• Matthew Paul Smith
• Michael Allen Smith, RN

• Licensed Practical Nurse in New Martinsville, WV
• Providers in New Martinsville, WV by specialty
• Licensed Practical Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.