Jasee S Smith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

615 S Division St Ste a
Moses Lake, WA 98837-3800

Phone

(509) 764-6644

Fax

(509) 764-6676

NPI assigned

Aug 24, 2020

Sex

Female

Sole proprietor

No

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.

• Autism Therapy Services of Moses Lake, LLC

  • Community/Behavioral Health Agency
  • Moses Lake, WA
  • NPI 1285170290
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 24, 2020.

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1861005571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S EASTLAKE DR",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372113",
            "telephone_number": "509-770-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S DIVISION ST STE A",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988373800",
            "telephone_number": "509-764-6644",
            "fax_number": "509-764-6676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 S Alder St",
            "address_purpose": "LOCATION",
            "city": "Moses Lake",
            "state": "WA",
            "postal_code": "988371760",
            "country_code": "US",
            "telephone_number": "509-764-6644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JASEE",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Sizer, MD
• Sloan K Jorgensen, DDS
• Smith Pester PLLC
• Amber D Smith, LMT
• Bronsen William Smith, MHP
• Jordan Smith, D.O.
• Kent C Smith, DO
• Kevin Kimberly Smith, MD
• Nicholas Hampton Smith, DDS
• Sierra Shea Smith

• All providers in Moses Lake, WA
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.