JESSICA SMITH (NPI# 1215448626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215448626 |
Entity Type | Individual |
Full Name | JESSICA SMITH |
Other Name | JESSICA BURDETT |
Credential | APRN, CNP |
Practice Address |
1330 Coshocton Ave Mount Vernon OH 43050-1440 |
Mailing Address |
1330 Coshocton Ave Mount Vernon OH 43050-1495 |
Practice Telephone | 7403939000 |
Mailing Telephone | 7403939000 |
Enumeration Date | 2017-10-12 |
Last Update Date | 2018-10-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APRN.CNP.021884 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.021884 | OH | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407454705 | Jessica Elaine Smith | Technician | 1255 Mckinney Cave Rd, Reedsville, WV 26547-7211 | 2020-10-09 |
1639781412 | Jessica Marie Smith | Physical Therapist | 10 Village West Dr Ste A, Senoia, GA 30276-3549 | 2020-08-21 |
1063037695 | Jessica Hanne Smith | Doula | 1580 Nw 17th St, Corvallis, OR 97330-2532 | 2020-06-09 |
1124642442 | Jessica Annmarie Smith | Technician, Cardiology | 6612 Anthony Ave, Garden Grove, CA 92845-2208 | 2020-06-02 |
1700410263 | Jessica Smith | Technician | 4112 Sugar Maple Ln, Little Rock, AR 72223-2161 | 2020-02-24 |
1033755442 | Jessica Smith | Registered Nurse | 8416 Avon St, Jamaica, NY 11432-2302 | 2019-11-20 |
1366088981 | Jessica Ann Smith | Registered Nurse | 26716 Kingswood Dr, Olmsted Twp, OH 44138-2135 | 2019-11-19 |
1891340584 | Jessica Lynn Smith | Nurse Practitioner | 3009 Sw Moore St, Blue Springs, MO 64015-3309 | 2019-08-08 |
1881248995 | Jessica Marie Smith | Genetic Counselor, MS | 1301 Palm Ave Ste 7a004, Jacksonville, FL 32207-8432 | 2019-07-26 |
1053965459 | Jessica Lynn Smith | Homemaker | 257 Sw Vann Ct, Lake City, FL 32024-3893 | 2019-07-25 |
Street Address |
1330 COSHOCTON AVE |
City | MOUNT VERNON |
State | OH |
Zip Code | 43050-1440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639175540 | Knox Diagnostic Imaging LLC | Specialist | 1330 Coshocton Ave, Mount Vernon, OH 43050 | 2005-06-24 |
1568079036 | Ashlee Sloan | Nurse Practitioner | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2020-09-28 |
1619592763 | Knox Community Hospital | Pharmacy | 1330 Coshocton Ave, Mount Vernon, OH 43050-1495 | 2020-06-15 |
1083236921 | Knox Community Hospital | Rehabilitation Unit | 1330 Coshocton Ave, Mount Vernon, OH 43050 | 2020-05-14 |
1235606328 | Allison Raye Doup | Nurse Practitioner | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2018-10-27 |
1528534955 | Brandi Le Ann Pennington | Family Medicine | 1330 Coshocton Ave, Mount Vernon, OH 43050-1495 | 2018-10-24 |
1124542006 | Larry Lee Weckesser | Nurse Practitioner | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2017-08-01 |
1063934081 | Elizabeth Ann Powell | Specialist/Technologist | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2017-07-11 |
1427579895 | Phillip Andrew Newman | Registered Nurse | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2017-07-06 |
1902336647 | Adonyah Yvonne Whipple | Clinical Nurse Specialist | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2017-06-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043739972 | Roxanne Renee Berry | Case Manager/Care Coordinator | Bhp 8402 Blackjack Rd, Mt Vernon, OH 43050 | 2017-09-12 |
1477079309 | Blaine Elizabeth Barr | Case Manager/Care Coordinator | 510 Mitchell Avenue, Mount Vernon, OH 43050 | 2017-08-22 |
1205351004 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 1330 Coshocton Ave., Mount Vernon, OH 43050 | 2017-08-14 |
1568998722 | Jami Passwaters | Case Manager/Care Coordinator | 8402 Blackjack Road, Mount Vernon, OH 43050 | 2017-05-10 |
1962892661 | Mount Vernon Nh LLC | Assisted Living Facility | 1135 East Gambier Street, Mount Vernon, OH 43050 | 2015-02-02 |
1881009017 | Pamela Robinson | Licensed Practical Nurse | 10263 Tucker Road, Mount Vernon, OH 43050 | 2014-06-26 |
1356756837 | Charla Sue Johnson | Licensed Practical Nurse | 228 Delano Street, Mt Vernon, OH 43050 | 2014-06-24 |
1588076236 | Erica Ferrell | Licensed Practical Nurse | 701 West Burgess Street, Mount Vernon, OH 43050 | 2014-05-29 |
1386085637 | Genesis Rehab Services | Assisted Living Facility | 6918 Wigton Road, Mount Vernon, OH 43050 | 2013-07-16 |
1427310473 | Jonathan Titus Hardin | Family Medicine | 1330 Coschocton Road, Mount Vernon, OH 43050 | 2012-06-14 |
Find all providers in zip 43050 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003421066 | Amantha Theodore | Nurse Practitioner | 531 E Lincoln Ave Apt 4n, Mount Vernon, NY 10552-3743 | 2020-09-15 |
1093320392 | Ryan Michael Winder | Nurse Practitioner | 615 A Ave Se, Mount Vernon, IA 52314-1532 | 2020-09-14 |
1154969103 | Sarah Jacqueline Lim-dwyer | Nurse Practitioner | 1400 East Kincaid Street, Mount Vernon, WA 98274-4127 | 2019-12-19 |
1306481056 | Julie Marie Forbes-laborde | Nurse Practitioner | 27 Beekman Ave Apt 2, Mount Vernon, NY 10553-1491 | 2019-11-15 |
1447819305 | Gladys E Aideyan | Nurse Practitioner | 130 Stuyvesant Plz, Mount Vernon, NY 10552-1413 | 2019-06-13 |
1417467929 | Shernette T Suer | Nurse Practitioner | 105 Stevens Ave Ste 506, Mount Vernon, NY 10550-2683 | 2017-10-10 |
1194254946 | Amy Haibel | Nurse Practitioner | 206 S Mulberry St Ste B, Mount Vernon, OH 43050-3331 | 2017-06-06 |
1699216697 | Diana Mcnear | Nurse Practitioner | 421 S 3rd Ave, Mount Vernon, NY 10550-4507 | 2017-03-10 |
1598200867 | Vivienne Iona Bartley | Nurse Practitioner | 115 Primrose Avenue, Mount Vernon, NY 10552 | 2016-12-22 |
1144772955 | Tahiesha Tolbert | Nurse Practitioner | 153 Stevens Ave Ste 4, Mount Vernon, NY 10550-2543 | 2016-10-27 |
Find all providers in MOUNT VERNON |
City | MOUNT VERNON |
Zip Code | 43050 |
Please comment or provide details below to improve the information on JESSICA 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.