JESSE GERALD SMITH III (NPI# 1144845140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144845140 |
| Entity Type | Individual |
| Full Name | JESSE GERALD SMITH III |
| Practice Address |
1401 S Seward Meridian Pkwy # Abc Wasilla AK 99654-8312 |
| Practice Telephone | 9076313520 |
| Mailing Telephone | 9076313520 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790037828 | Jesse Garland Smith | Physician Assistant | 1533 Koch Ln, San Jose, CA 95125-4852 | 2012-10-13 |
| 1881821049 | Jesse Smith | Marriage & Family Therapist | 2288 Autumn Fire Ct, Las Vegas, NV 89117-8956 | 2009-06-15 |
| 1780838268 | Jesse Sawyer Smith | Occupational Therapist | 47 Old Post Rd N, Red Hook, NY 12571-2261 | 2008-11-10 |
| 1013091859 | Jesse C. Smith Jr. | Physical Therapist | 106a Woodland Dr, Lancaster, SC 29720 | 2006-10-25 |
| 1972162063 | Jesse Marie Smith | Speech-Language Pathologist | 235 E 9th Ave, Anchorage, AK 99501-7501 | 2019-06-12 |
| 1144799628 | Jesse J Smith | Peer Specialist | 1700 S Assembly St Ste 300, Spokane, WA 99224-2116 | 2018-11-14 |
| 1174099170 | Jesse Enoch Smith | Nurse Practitioner | 182 16th St, Burlington, CO 80807-1649 | 2018-10-17 |
| 1508358177 | Jesse Smith | Dentist | 441 Marshall Dr, Saint Robert, MO 65584 | 2018-05-30 |
| 1508391236 | Jesse Kyle Smith | Psychiatry & Neurology | 920 Stanton L Young Blvd, G. Rainey Williams Pavillion 3rd Floor, Oklahoma City, OK 73104-5036 | 2017-05-01 |
| 1003360884 | Jesse Smith | Nurse's Aide | 225 N Water Ave, Tahlequah, OK 74464-2825 | 2016-08-09 |
| Street Address |
1401 S SEWARD MERIDIAN PKWY # ABC |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-8312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578109989 | Jennifer Leigh Morehouse | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2019-11-20 |
| 1740881549 | Rhonda Lea Matlock | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-11-06 |
| 1912508037 | Crystal Ann Swain | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-11-04 |
| 1407455322 | Kaden Mikhael Worth | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-10-21 |
| 1154920213 | Leslie Lynn Humphrey | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-10-20 |
| 1922607084 | Stephanie Dawn Powers | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-10-20 |
| 1912505306 | Lindsay Marie Deal | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-10-16 |
| 1700484649 | Hayley Charisma Hooks | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-10-13 |
| 1881292761 | Isaac Alexander Vega | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-10-13 |
| 1396343604 | Jennie Arlene Schmidt | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-10-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108995 | Jayme Bonty | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy Ste A&b, Wasilla, AK 99654-8312 | 2020-06-12 |
| 1578109989 | Jennifer Leigh Morehouse | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2019-11-20 |
| 1205471232 | Tamara Wallace | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy Ste Abc, Wasilla, AK 99654-8312 | 2019-11-13 |
| 1013488709 | Billie Jo Hansen | Day Training/Habilitation Specialist | 850 S Roberts St Ste 400, Wasilla, AK 99654-8206 | 2018-12-06 |
| 1972096386 | Kathryn Julia Thomason | Day Training/Habilitation Specialist | 2051 N Ashford Blvd, Wasilla, AK 99654-5346 | 2018-06-11 |
| 1740881549 | Rhonda Lea Matlock | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-11-06 |
| 1912508037 | Crystal Ann Swain | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-11-04 |
| 1407455322 | Kaden Mikhael Worth | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-10-21 |
| 1154920213 | Leslie Lynn Humphrey | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-10-20 |
| 1922607084 | Stephanie Dawn Powers | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-10-20 |
| Find all providers in WASILLA | ||||
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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.