Active NPI
Jessica Smith, RN
- Registered Nurse
- Charlotte, NC
National Provider Identifier
1972435709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 284448
- Practice address
- 915 Pearl Street Parkway
Charlotte, NC 28204 - Phone
- (260) 431-7543
- NPI assigned
- Jun 3, 2026
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 284448 | NC | Primary |
Addresses
Primary practice location
915 Pearl Street Parkway
Charlotte, NC 28204
Mailing address
1700 N Brevard St Apt 243
Charlotte, NC 28206-3618
Phone (260) 431-7543
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 284448 | NC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1972435709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 N BREVARD ST APT 243",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282063618",
"telephone_number": "260-431-7543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 PEARL STREET PARKWAY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28204",
"telephone_number": "260-431-7543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JESSICA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-03",
"last_updated": "2026-06-03",
"certification_date": "2026-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "284448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.