JACLYN SMITH (NPI# 1013419530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013419530 |
| Entity Type | Individual |
| Full Name | JACLYN SMITH |
| Credential | NP |
| Practice Address |
2500 Ne Neff Rd Bend OR 97701-6015 |
| Mailing Address |
21215 Dove Ln Bend OR 97702-9526 |
| Practice Telephone | 5417065880 |
| Practice Fax Number | 5417065899 |
| Mailing Telephone | 5412333872 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2020-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 201801521NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21215 Dove Ln, Bend, OR 977029526 | 5412333872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376904060 | Jaclyn Smith | Physical Therapist | 214 Argus Rd, Saint Augustine, FL 32086 | 2016-03-09 |
| 1942567722 | Jaclyn Smith | Dental Hygienist | 19173 Santa Barbara Dr, Detroit, MI 48221-1624 | 2012-04-18 |
| 1225669658 | Jaclyn Leigh Smith | Registered Nurse | 200 E State St Fl 3, Alliance, OH 44601-4936 | 2020-02-04 |
| 1932679719 | Jaclyn Smith | Physical Therapy Assistant | 400 E Howry Ave, Deland, FL 32724-5400 | 2018-12-05 |
| 1881189488 | Jaclyn Jones Smith | Counselor | 305 S Highland Dr, Many, LA 71449 | 2018-06-26 |
| 1235669755 | Jaclyn Arielle Smith | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316 | 2017-06-18 |
| 1255738134 | Jaclyn Smith | Counselor | 344 E 100 S, Ste 301, Salt Lake City, UT 84111-1700 | 2014-11-20 |
| 1700209681 | Jaclyn W Smith | Counselor | 5351 Samuell Blvd, Dallas, TX 75228-6720 | 2014-01-28 |
| 1306275631 | Jaclyn Smith | Dietitian, Registered | 9100 Babcock Blvd, Nutrition Services, Pittsburgh, PA 15237-5815 | 2013-11-07 |
| 1609203629 | Jaclyn Smith | Advanced Practice Midwife | 270 Old Hook Rd, Westwood, NJ 07675-3117 | 2013-10-04 |
| Street Address |
2500 NE NEFF RD |
| City | BEND |
| State | OR |
| Zip Code | 97701-6015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942709 | Gary D Hood | Emergency Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2005-06-14 |
| 1053927871 | Chelsey Candida Gersema | Registered Nurse | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2020-09-17 |
| 1225649205 | Jaclyn Silver | Physical Therapist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2020-08-12 |
| 1528525995 | Steven Diaz | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2019-02-21 |
| 1043783269 | Cody Weidenhaft | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2019-01-10 |
| 1063981835 | Cep America - Neurology PC | Psychiatry & Neurology | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-11-21 |
| 1447738547 | Victoria Stavish | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-07-31 |
| 1457841173 | Regina M Joshi-mcgaw | Social Worker | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-05-17 |
| 1215439435 | Lesley Srikantaiah | Social Worker | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-03-03 |
| 1760996524 | Kayla Michelle Dennis | Specialist/Technologist, Other | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2017-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679905020 | Kendra L Owens | Nurse Practitioner | 2564 Ne Courtney Dr., Bend, OR 97701 | 2013-08-07 |
| 1174840391 | Deborah Lenore Rief-adams | Nurse Practitioner | 2042 Ne Williamson Court, Bend, OR 97701 | 2010-04-28 |
| 1720165541 | Erin Arnold Bishop | Nurse Practitioner | 155 Sw Century Dr Ste 111, Bend, OR 97702-1657 | 2006-11-01 |
| 1497830574 | Bette T. Johnson | Nurse Practitioner | 2500 Neff Rd., St Charles Medical Center, Bend, OR 92201-0001 | 2006-10-26 |
| 1144847153 | Jessica Ann Spanbauer-bales | Nurse Practitioner | 900 Ne 27th St, Bend, OR 97701-9548 | 2020-06-25 |
| 1316509474 | Hannah Webster Ferrie | Nurse Practitioner | 2275 Ne Doctors Dr Ste 3, Bend, OR 97701-6324 | 2019-06-28 |
| 1508358201 | Adam J Pike | Nurse Practitioner | 2075 Ne Wyatt Ct, Bend, OR 97701-7686 | 2018-05-30 |
| 1447702428 | Andrea Purtzer | Nurse Practitioner | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2016-10-26 |
| 1003291584 | Molly K Torvik | Nurse Practitioner | 2195 Ne Professional Ct Ste 1, Bend, OR 97701-6028 | 2015-07-24 |
| 1194098756 | Linda De Laveaga Becker | Nurse Practitioner | 2275 Ne Doctors Dr Ste 6, Bend, OR 97701-6092 | 2012-02-13 |
| Find all providers in BEND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.