Jennifer M Smith, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

27424-1 Issued in NY

Practice address

306 Twin Elms LN
North Syracuse, NY 13212-1334

Phone

(315) 432-5636

NPI assigned

Mar 20, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1871835587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 TWIN ELMS LN",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121334",
            "telephone_number": "315-432-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 TWIN ELMS LN",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121334",
            "telephone_number": "315-432-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "27424-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilson Dandato Sithole, DDS MPH
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• Patricia Mary Slack, ATR-BC, LCAT, CASAC
• Kelley E Sluka
• Jennifer Keyes Slusser, OTR
• Walter John Socha Jr., RPH
• Kimberly Anne Sotherden, LPN
• Juan L Sotomayor, MD
• Mary Christine Spinella, PHARMD
• Courtney M Sprague, OTR/L

• Licensed Practical Nurse in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.