JACKIE SMITH (NPI# 1184671638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184671638 |
| Entity Type | Individual |
| Full Name | JACKIE SMITH |
| Credential | ARNP |
| Practice Address |
1 Tampa General Cir Suite G415 Tampa FL 33606-3571 |
| Mailing Address |
Po Box 1289 Tampa FL 33601-1289 |
| Practice Telephone | 8138447968 |
| Practice Fax Number | 8138444049 |
| Mailing Telephone | 8138447968 |
| Mailing Fax Number | 8138444049 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2011-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP1307372 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 307290800 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | Y086N | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235480146 | Jackie Ann Smith | Licensed Practical Nurse | 2065 Aaron Dr, Middletown, OH 45044-3646 | 2012-10-02 |
| 1609186576 | Jackie L Smith | Dentist | 154 Welford Ln, Branson, MO 65616-3418 | 2010-10-13 |
| 1053595660 | Jackie M Smith | Counselor | 6512 20th Street Ct W Ste B2, Fircrest, WA 98466-6212 | 2007-12-19 |
| 1154543866 | Jackie Smith Jr. | Counselor | 9100 Brentwood Blvd, Brentwood, CA 94513-4000 | 2007-05-03 |
| 1710345780 | Jackie L Smith | Physical Therapist | 1110 S Adams St, Fulton, MS 38843-8952 | 2016-02-05 |
| 1588030688 | Jackie Smith | Nurse Practitioner | 2529 Six Mile Ln, Louisville, KY 40220-2934 | 2015-08-12 |
| 1760756985 | Jackie Lynn Smith | Physician Assistant | 9100 Babcock Blvd, Suite 2096, Pittsburgh, PA 15237-5815 | 2012-03-06 |
| Street Address |
1 TAMPA GENERAL CIR SUITE G415 |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-3571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899091 | Debbie A Rinde-hoffman | Internal Medicine | 1 Tampa General Cir, Hmt Cardiology, Tampa, FL 33606-3571 | 2005-05-23 |
| 1740881481 | Jenny Lebron | Nurse Anesthetist, Certified Registered | 1 Tampa General Cir, Tampa, FL 33606-3571 | 2020-11-07 |
| 1457952673 | Kamrin Elyse Taylor | Registered Nurse | 1 Tampa General Cir, Tampa, FL 33606-3571 | 2020-11-04 |
| 1356942460 | Haley Fiorini | Registered Nurse | 1 Tampa General Cir, Tampa, FL 33606-3571 | 2020-11-04 |
| 1164022802 | Brenden Watkins | Registered Nurse | 1 Tampa General Cir, Tampa, FL 33606-3571 | 2020-10-30 |
| 1033726799 | Delaney Ansell | Registered Nurse | 1 Tampa General Cir, Tampa, FL 33606-3571 | 2020-09-28 |
| 1568079291 | Sylvia Marie Blancett | Nurse Anesthetist, Certified Registered | 1 Tampa General Cir, Tampa, FL 33606-3571 | 2020-09-27 |
| 1235745373 | Rizza Lian | Nurse Practitioner | 1 Tampa General Cir, Tampa, FL 33606-3571 | 2020-09-22 |
| 1245842459 | Stephannie Marie Pittman | Nurse Practitioner | 1 Tampa General Cir, Tampa, FL 33606-3571 | 2020-08-19 |
| 1750909123 | Ashley Elizabeth Newson | Registered Nurse | 1 Tampa General Cir, Tampa, FL 33606-3571 | 2020-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| 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 |
|---|---|---|---|---|
| 1356953905 | Mayelin Matos | Nurse Practitioner | 8320 W Pocahontas Ave, Tampa, FL 33615-2821 | 2020-08-17 |
| 1184235483 | Kety Uriarte | Nurse Practitioner | 4100 N Tampania Ave, Tampa, FL 33607-6830 | 2020-08-11 |
| 1861001919 | Deborah Diaz Telesford | Nurse Practitioner | 10709 Pleasant Knoll Dr, Tampa, FL 33647-3667 | 2020-07-24 |
| 1699392936 | Medjine Noel | Nurse Practitioner | 7412 French Marigold Ave, Tampa, FL 33619-6941 | 2020-07-02 |
| 1407472129 | Evisencia Mathurin | Nurse Practitioner | 9618 Oak Glade Ave, Tampa, FL 33647-2985 | 2020-06-18 |
| 1811518111 | Ji Universal Medical Group LLC | Nurse Practitioner | 8903 Regents Park Dr Ste 120, Tampa, FL 33647-3083 | 2020-04-28 |
| 1609414135 | Yaima Rodriguez | Nurse Practitioner | 7520 Brookhaven Ct, Tampa, FL 33634-2924 | 2019-12-16 |
| 1366087322 | Sajani Patel | Nurse Practitioner | 5210 Webb Rd Fl 33615, Tampa, FL 33615-4518 | 2019-11-14 |
| 1518501337 | Courtney Anne Sink | Nurse Practitioner | 10515 Villa View Cir, Tampa, FL 33647-2599 | 2019-11-05 |
| 1013472612 | Matthew Bragg | Nurse Practitioner | 13019 Delwood Rd, Tampa, FL 33624-4305 | 2019-02-07 |
| Find all providers in TAMPA | ||||
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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.