Jessica T Smith, DMH DD PROVIDER

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Practice address

1100 Kennesaw Ridge Rd
Unit 807
Columbia, MO 65202-4864

Phone

(573) 990-9999

NPI assigned

Mar 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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 and National Provider Directory roles.

• Clark Supported Living

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Columbia, MO
  • NPI 1326514381

  In Home Supportive Care

  NPD (past)
• JP Home Care LLC

  • Developmentally Disabled Services Day Training Agency
  • Columbia, MO
  • NPI 1588151799

  In Home Supportive Care

  NPD (past)

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1912409780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MACAW DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652026284",
            "telephone_number": "773-332-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 KENNESAW RIDGE RD",
            "address_2": "UNIT 807",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652024864",
            "telephone_number": "573-990-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "middle_name": "T",
        "credential": "DMH DD PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Smith, LPTA
• Harrison Smith, PA-C
• Hayley M Smith, MED, LPC
• Hunter Douglas Smith, DNP, FNP-BC
• Janie Elizabeth Smith, MA CCC-SLP
• Kimberly K. Smith
• Lisa Kay Smith, LCSW
• Lisa Mae Smith, M.D.
• Lora Feistel Smith, MSN APRN NP-C
• Lu-Anne Smith, MD

• Child Intellectual and/or Developmental Disabilities Respite Care in Columbia, MO
• Providers in Columbia, MO by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.