Individual provider Active NPI

Janelle Joy Smestad, OTR

  • Occupational Therapist
  • Grantsburg, WI
National Provider Identifier
1962529156
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2817-026 Issued in WI
Practice address
257 W Saint George Ave
Grantsburg, WI 54840-7827
Phone
(715) 463-5353
Fax
(715) 463-2423
NPI assigned
Mar 23, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2817-026 WI Primary

Addresses

Primary practice location

257 W Saint George Ave
Grantsburg, WI 54840-7827

Mailing address

23098 Smestad Rd
Grantsburg, WI 54840-9002
Phone (715) 463-3274

Other identifiers 1

IdentifierTypeStateIssuer
41042200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171114001421 WI Practitioner - Occupational Therapist in Private Practice 8426314147 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2817-026WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burnett Medical Center Inc Current Accepting new patients

Locations

257 W Saint George Ave
Grantsburg, WI 54840
Phone (715) 463-5353

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, 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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962529156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23098 SMESTAD RD",
            "city": "GRANTSBURG",
            "state": "WI",
            "postal_code": "548409002",
            "telephone_number": "715-463-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 W SAINT GEORGE AVE",
            "city": "GRANTSBURG",
            "state": "WI",
            "postal_code": "548407827",
            "telephone_number": "715-463-5353",
            "fax_number": "715-463-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMESTAD",
        "first_name": "JANELLE",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "2817-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41042200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grantsburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.