JESSE ENOCH SMITH (NPI# 1174099170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174099170 |
| Entity Type | Individual |
| Full Name | JESSE ENOCH SMITH |
| Credential | APRN |
| Practice Address |
182 16th St Burlington CO 80807-1649 |
| Practice Telephone | 7193469481 |
| Practice Fax Number | 7193469485 |
| Mailing Telephone | 7193469481 |
| Mailing Fax Number | 7193469485 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN-0994197-NP | CO | Physician Assistants & Advanced Practice Nursing 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 |
| 1144845140 | Jesse Gerald Smith IIi | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-06-15 |
| 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 |
| 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 |
182 16TH ST |
| City | BURLINGTON |
| State | CO |
| Zip Code | 80807-1649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186024 | Candace Campbell | Physician Assistant | 182 16th St, Burlington, CO 80807-1649 | 2005-07-01 |
| 1134781446 | Krista Shalynn Davis | Social Worker | 182 16th St, Burlington, CO 80807-1649 | 2019-07-08 |
| 1083183800 | Daniela Fawcett | Nurse Practitioner | 182 16th St, Burlington, CO 80807-1649 | 2018-11-21 |
| 1760910178 | Michelle Dawn Wright | Registered Nurse | 182 16th St, Burlington, CO 80807 | 2017-05-30 |
| 1023468337 | Brittany Whitmore | Physical Therapist | 182 16th St, Burlington, CO 80807-1649 | 2016-06-16 |
| 1518327758 | Linnea R Schroeder | Physician Assistant | 182 16th St, Burlington, CO 80807-1649 | 2016-03-01 |
| 1588022081 | Sara Elizabeth Joyce | Physician Assistant | 182 16th St, Burlington, CO 80807-1649 | 2016-01-29 |
| 1821352766 | Eunice Wangari Gititu | Family Medicine | 182 16th St, Burlington, CO 80807-1649 | 2012-06-26 |
| 1932211596 | Kit Carson County Health Services District | Clinic/Center | 182 16th St, Burlington, CO 80807-1649 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740520642 | Kathryn Helen Dobler | Registered Nurse | 252 South 14th St., Burlington, CO 80807 | 2013-03-01 |
| 1669666269 | Dawn M James | Clinical Nurse Specialist | 54188 County Rd Hh, Burlington, CO 80807 | 2007-08-28 |
| 1972608321 | Kit Carson County Health Services District | Hospice Care, Community Based | 286 16th Street, Burlington, CO 80807 | 2006-09-13 |
| 1043259088 | Aerocare Holdings, Inc | Durable Medical Equipment & Medical Supplies | 349 14th St, Burlington, CO 80807 | 2006-06-05 |
| 1851363865 | Kit Carson County Health and Human Services | Public Health or Welfare | 252 S. 14th Street, Burlington, CO 80807 | 2006-02-03 |
| 1790123669 | Madison Senior Living Management LLC | Respite Care | 465 5th Street, Burlington, CO 80807 | 2013-06-12 |
| 1467753541 | Jason A Sizer | Pharmacist | 314 14th St, Burlington, CO 80807 | 2010-11-05 |
| 1366527400 | Preventive Family Dental PC | Dental Hygienist | 1440 Lowell Ave, Burlington, CO 80807-0094 | 2006-10-26 |
| 1982844874 | Centennial Mental Health Center | Community/Behavioral Health | 1291 Circle Dr, Burlington, CO 80807-1245 | 2009-03-05 |
| 1821657784 | Karl M Ingram | Counselor | 1291 Circle Dr, Burlington, CO 80807-1245 | 2019-06-13 |
| Find all providers in zip 80807 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558988782 | Oshiokwueme Osilama | Nurse Practitioner | 11 Algonquin Dr, Burlington, MA 01803-3630 | 2020-07-03 |
| 1861053993 | Anjani Kumar Agarwala | Nurse Practitioner | 260 Winn St Apt B, Burlington, MA 01803-2636 | 2019-06-28 |
| 1720549637 | Sheri Soucy | Nurse Practitioner | 41 Mall Road 5 E Cardiology, Burlington, MA 01805-0001 | 2019-03-26 |
| 1225585573 | Kathleen Marie Ferrara | Nurse Practitioner | Walgreens Healthcare Clinic, 1747 Patrick Drive, Burlington, KY 41005 | 2016-09-03 |
| 1134525645 | Amy R Aeschliman | Nurse Practitioner | 425 E. 5th Street, Suite B, Burlington, IN 46915-1758 | 2014-11-10 |
| 1669888335 | Heide Wakefield-thorne | Nurse Practitioner | 37007 65th Ct, Burlington, WI 53105-8554 | 2014-07-02 |
| 1730518549 | Kelly Brush Davisson | Nurse Practitioner | 128 Lakeside Ave Ste 115, Burlington, VT 05401 | 2013-11-02 |
| 1083806939 | Mary Katherine Mcneice | Nurse Practitioner | Lahey Clinic Medical Center - Medical Oncology, 41 Mall Rd, Burlington, MA 01805-0001 | 2007-08-14 |
| 1033317557 | Susan Marie Dorman | Nurse Practitioner | 291 15th St, Burlington, CO 80807-1619 | 2007-07-05 |
| 1467650184 | Hart Healthcare, Pllc | Nurse Practitioner | 4467 Hackberry Ct, Burlington, KY 41005-6904 | 2007-07-03 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 80807 |
Please comment or provide details below to improve the information on JESSE ENOCH SMITH.
| 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.