Active NPI
Jennifer Laguardia Smith
- Recreation Therapist
- North Little Rock, AR
National Provider Identifier
1972241115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 55343
- Practice address
- Eugene J Towbin VA Healthcare Center
2200 Fort Roots Dr
North Little Rock, AR 72114 - Phone
- (501) 237-3469
- NPI assigned
- May 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 55343 | TX | Primary |
Addresses
Primary practice location
Eugene J Towbin VA Healthcare Center
2200 Fort Roots Dr
North Little Rock, AR 72114
Mailing address
6508 Ridgemist LN
North Little Rock, AR 72117-2293
Phone (803) 603-6086
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55343 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1972241115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6508 RIDGEMIST LN",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721172293",
"telephone_number": "803-603-6086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EUGENE J TOWBIN VA HEALTHCARE CENTER",
"address_2": "2200 FORT ROOTS DR",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "72114",
"telephone_number": "501-237-3469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JENNIFER",
"middle_name": "LAGUARDIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-26",
"last_updated": "2022-05-26",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "TX",
"license": "55343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.