Jacob A Smith, RRT

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

12473049-5701 Issued in UT

Practice address

2101 Elm St N
Fargo, ND 58102-2417

Phone

(701) 239-3700

NPI assigned

May 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jake Alan Smith Other name

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": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765584000000",
    "number": "1902542640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ELM ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022417",
            "telephone_number": "701-232-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ELM ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022417",
            "telephone_number": "701-239-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACOB",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-06",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "UT",
            "license": "12473049-5701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "SMITH",
            "middle_name": "ALAN",
            "prefix": "MR.",
            "credential": "RRT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brittney D Smith, APRN, CNP
• Carrie Smith
• Cheryl Ellen Smith, LICSW
• Cynthia A Smith, PA-C
• Dessirae Smith
• Jason Byrne Smith, PA-C
• Jeanie G Smith, LMT
• Jessica R Smith, LPN
• Julia Smith
• Kari Louise Smith, CRNA

• Registered Respiratory Therapist in Fargo, ND
• Providers in Fargo, ND by specialty
• Registered Respiratory Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2025; 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.