Jacqueline Smith

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 9320 Issued in OH

Practice address

1110 Chestnut St
Fremont, OH 43420-4312

Phone

(419) 332-1511

NPI assigned

Jun 16, 2016

Sex

Female

Sole proprietor

Yes

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1902256373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5216 MCCARTNEY RD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448701528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 CHESTNUT ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434204312",
            "telephone_number": "419-332-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP 9320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori Ann Silcox, APRN CNP
• SL Fremont, LLC
• Adrianna Slappey, DSP
• Amanda Slayton
• Tamara Smalldon, PTA
• Jeremy C Smith, PT
• Margaret Smith, RN ADHS
• Nelson Eugene Smith, DENTIST
• Peggy Smith, LMT
• Quinton Smith, CT

• Speech-Language Pathologist in Fremont, OH
• Providers in Fremont, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.