Individual provider Active NPI

Jessica Lorraine Smith, NP

  • Family Nurse Practitioner
  • Deming, NM
National Provider Identifier
1952813487
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
70905 Issued in NM
Practice address
905 S 8TH St Ste B
Deming, NM 88030-4037
Phone
(575) 543-7200
Fax
(575) 543-7250
NPI assigned
Oct 24, 2017
Last updated
Mar 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 70905 NM Primary

Addresses

Primary practice location

905 S 8TH St Ste B
Deming, NM 88030-4037

Mailing address

1833 Las Tunas Dr
Las Cruces, NM 88011-4956
Phone (575) 571-0755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230508002082 NM Practitioner - Nurse Practitioner 1759746100 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deming Hospital Corporation CurrentSince May 1, 2023 Accepting new patients
Deming Urgent Care Company LLC CurrentSince Jan 1, 2026 Accepting new patients
Deming Hospital Corporation CurrentSince May 1, 2023 Accepting new patients
Deming Hospital Corporation Past Accepting new patients
Deming Hospital Corporation Past Accepting new patients
Las Cruces School District No. 2 PastSince Nov 8, 2020 Accepting new patients

Locations

905 S 8th St
Deming, NM 88030
Phone (575) 543-7200

905 S 8th St
Ste A
Deming, NM 88030
Phone (575) 543-7200

905 S 8th St
Ste B
Deming, NM 88030
Phone (575) 543-7200

Interoperability endpoints

  • Direct secure messaging: jessica.smith.1@1596.direct.athenahealth.com
  • Direct secure messaging: jessica.smith.2@1596.direct.athenahealth.com
  • Direct secure messaging: jsmith33@yourcarecommunity.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1952813487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 LAS TUNAS DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114956",
            "telephone_number": "575-571-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S 8TH ST STE B",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304037",
            "telephone_number": "575-543-7200",
            "fax_number": "575-543-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2023-03-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "70905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deming, NM

Sources for this page

Verify at the official NPI Registry.