Individual provider Active NPI

Jamie Renee Smith, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1952536138
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN001124 Issued in NV
Practice address
1950 Pinto LN
Las Vegas, NV 89106-4017
Phone
(702) 438-2229
Fax
(702) 385-0982
NPI assigned
May 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN001124 NV Primary

Addresses

Primary practice location

1950 Pinto LN
Las Vegas, NV 89106-4017

Mailing address

8906 Spanish Ridge Ave
Ste. 202
Las Vegas, NV 89148-1304
Phone (702) 577-1622

Other identifiers 2

IdentifierTypeStateIssuer
1952536138MedicaidNV
APRN001124OtherNVSTATE APRN LICENSE

Other names 1

  • Jamie Renee Chartier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN001124NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Affiliates Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jamie.smith.1@8558.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1952536138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 SPANISH RIDGE AVE",
            "address_2": "STE. 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481304",
            "telephone_number": "702-577-1622",
            "fax_number": "702-912-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 PINTO LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064017",
            "telephone_number": "702-438-2229",
            "fax_number": "702-385-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMIE",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952536138",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE APRN LICENSE",
            "identifier": "APRN001124",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "CHARTIER",
            "middle_name": "RENEE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.