JENNA ROSE SMITH (NPI# 1124576772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124576772 |
| Entity Type | Individual |
| Full Name | JENNA ROSE SMITH |
| Credential | PA-C |
| Practice Address |
540 Fulton Ave Hempstead NY 11550-4364 |
| Practice Telephone | 5167502500 |
| Mailing Telephone | (516) 750-2500 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
020030-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12510 Queens Blvd, Suite 2701, Kew Gardens, NY 114151519 | 7185779172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568990976 | Jenna Nichole Smith | Audiologist | 23920 Katy Fwy Ste 430, Katy, TX 77494-0881 | 2017-05-30 |
| 1265888424 | Jenna Smith | Developmental Therapist | 2249 W Melrose St, 2, Chicago, IL 60618-6315 | 2016-05-06 |
| 1538560065 | Jenna Witte Smith | Physician Assistant | 8040 Clearvista Pkwy Ste 440, Indianapolis, IN 46256-4673 | 2014-09-16 |
| 1558645812 | Jenna Smith | Physician Assistant | 9290 Se Sunnybrook Blvd Ste 120, Clackamas, OR 97015-6802 | 2011-10-05 |
| 1316564479 | Jenna Smith | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-07-06 |
| 1447802343 | Jenna Smith | Obstetrics & Gynecology | 200 Garden City Plz, Garden City, NY 11530-3301 | 2019-07-10 |
| 1033674668 | Jenna Smith | Marriage & Family Therapist | 8120 Sheridan Blvd Ste 219c, Westminster, CO 80003-6145 | 2019-02-07 |
| 1629564398 | Jenna Gainey Smith | Nurse Anesthetist, Certified Registered | 1275 York Ave, New York, NY 10065-6007 | 2018-07-06 |
| 1174011522 | Jenna Vera Smith | Dietitian, Registered | 2131 Capitol Ave Ste 206, Sacramento, CA 95816-5755 | 2018-05-01 |
| 1598288045 | Jenna Gravitt Smith | Speech-Language Pathologist | 4640 Martin Rd, Cumming, GA 30041-5571 | 2017-07-17 |
| Street Address |
540 FULTON AVE |
| City | HEMPSTEAD |
| State | NY |
| Zip Code | 11550-4364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427090190 | Planned Parenthood of Greater New York | Clinic/Center | 540 Fulton Ave, Hempstead, NY 11550-4364 | 2006-06-10 |
| 1457724312 | Sandra Myrtil | Nurse Practitioner | 540 Fulton Ave, Hempstead, NY 11550-4364 | 2015-11-01 |
| 1962878504 | Maria Pillado | Registered Nurse | 540 Fulton Ave, Hempstead, NY 11550-4364 | 2015-08-18 |
| 1578971297 | Arntrica Antoine | Nurse Practitioner | 540 Fulton Ave, Hempstead, NY 11550-4364 | 2014-07-25 |
| 1720404320 | Malinda Brown Martin | Registered Nurse | 540 Fulton Ave, Hempstead, NY 11550-4364 | 2014-03-07 |
| 1396182135 | Jessica Elizabeth Mcguire | Nurse Practitioner | 540 Fulton Ave, Hempstead, NY 11550-4364 | 2013-06-03 |
| 1366783433 | Ashlee Springer | Registered Nurse | 540 Fulton Ave, Hempstead, NY 11550-4364 | 2013-03-13 |
| 1700011343 | Nhung Ngo Argota | Advanced Practice Midwife | 540 Fulton Ave, Hempstead, NY 11550-4364 | 2009-05-27 |
| 1518192152 | Delisa Marie Banks | Physician Assistant | 540 Fulton Ave, Hempstead, NY 11550-4364 | 2009-05-27 |
| 1205004595 | Mary Cashin | Registered Nurse | 540 Fulton Ave, Hempstead, NY 11550-4364 | 2008-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505720 | Karla Louelle Timbol Casino | Physical Therapist | Synergy Health Medical Solutions PC, 95 Clinton St, Hempstead, NY 11550 | 2020-07-16 |
| 1942790720 | Move Better Physical Therapy Pllc | Clinic/Center | 135 Clinton St Unit Lb4, Hempstead, NY 11550 | 2018-05-16 |
| 1962929687 | Selina Mahadeo | Licensed Practical Nurse | 1234 Hempstead Ave, Hempstead, NY 11550 | 2017-08-23 |
| 1023544145 | Ann Marie Clarke | Registered Nurse | 12 Saint Pl, Hempstead, NY 11550 | 2017-05-10 |
| 1902330053 | Yamillette Kinard | Specialist | 18 Mitchell Ct, Hempstead, NY 11550 | 2017-04-16 |
| 1356726293 | Mercy Medical Center | Community/Behavioral Health | 506 Stewart Avenue, Garden City, NY 11550 | 2015-07-21 |
| 1053798108 | Kadia Chisholm | Licensed Practical Nurse | 50 Clinton Street (suite 601), Hempstead, NY 11550 | 2015-04-28 |
| 1558757658 | Oti Management Consulting, Inc | Community/Behavioral Health | 50 Clinton St Suite 205 Rm2, Hempstead, NY 11550 | 2015-04-15 |
| 1578969333 | Kadiatu Koroma | Licensed Practical Nurse | 100 Terrace Ave, Apt. 555, Hempstead, NY 11550 | 2014-11-06 |
| 1669895363 | Debbie Smith Pt Pllc | Physical Therapist | 36 Cathedral Avenue, 6e, Hempstead, NY 11550 | 2014-01-31 |
| Find all providers in zip 11550 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104981927 | Erin Peyton-alt | Physician Assistant | 54 Main Street, Hempstead, NY 11550 | 2006-12-22 |
| 1699840843 | Marlene Maleta Pitamber | Physician Assistant | 2 Main St, Hempstead, NY 11550-4020 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
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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.