JORDAN SMITH (NPI# 1326603093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326603093 |
| Entity Type | Individual |
| Full Name | JORDAN SMITH |
| Practice Address |
1475 Engineering Dr Madison WI 53706-1607 |
| Mailing Address |
922 E Dayton St Apt B Madison WI 53703-2369 |
| Practice Telephone | 6085778878 |
| Mailing Telephone | 6085778878 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | WI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212751 | Jordan C Smith | Pharmacist | 105 W 8th Ave # 350e, Spokane, WA 99204-2302 | 2020-07-08 |
| 1841816105 | Jordan Smith | Specialist/Technologist, Other | 7101 Bryant Irvin Rd Unit 34506, Fort Worth, TX 76162-5009 | 2020-06-23 |
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1447815816 | Jordan Nichole Smith | Student in an Organized Health Care Education/Training Program | 4061 Idewild Loop # D403, Coeur D Alene, ID 83814-7091 | 2019-05-01 |
| 1447734579 | Jordan Smith | Hearing Instrument Specialist | 843 W Summit Ave, Muskegon, MI 49441-4047 | 2018-09-25 |
| 1477055366 | Jordan A Smith | Chiropractor | 7604 Ne 5th Ave Ste 109, Vancouver, WA 98665-8200 | 2018-03-06 |
| 1235656919 | Jordan Smith | Licensed Practical Nurse | 3957 Dean Rd, Marion, NY 14505 | 2017-08-24 |
| 1407171606 | Jordan D Smith | Pharmacist | 4 Long Cove Ct, Greensboro, NC 27407-5843 | 2010-03-30 |
| 1225292139 | Jordan D Smith | Optometrist | 1205 Old Highway 127 S, Jamestown, TN 38556-5609 | 2008-07-10 |
| 1013514553 | Jordan Claire Smith | Nurse Practitioner | 2550 Flowood Dr Ste 300, Flowood, MS 39232-9306 | 2020-10-07 |
| Street Address |
1475 ENGINEERING DR |
| City | MADISON |
| State | WI |
| Zip Code | 53706-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396296315 | Casey Craddock | Specialist/Technologist | 1475 Engineering Dr, Madison, WI 53706-1607 | 2016-10-14 |
| 1659937100 | Deja Cooper | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr, Madison, WI 53706-1607 | 2019-05-09 |
| 1437714268 | Jackson R Helf | Specialist/Technologist | 1475 Engineering Dr, Madison, WI 53706-1607 | 2019-05-07 |
| 1699330365 | Cody Michael Anderson | Specialist/Technologist | 1475 Engineering Dr, Madison, WI 53706-1607 | 2019-05-07 |
| 1871158543 | Kady Johnson | Specialist/Technologist | 1475 Engineering Dr, Madison, WI 53706-1607 | 2019-05-07 |
| 1356906036 | Brady Gruett | Specialist/Technologist | 1475 Engineering Dr, Madison, WI 53706-1607 | 2019-05-07 |
| 1336630300 | Jordan Mcdermott | Specialist/Technologist | 1475 Engineering Dr, Madison, WI 53706-1607 | 2018-05-24 |
| 1386133072 | Amanda Nicole Flanscha | Specialist/Technologist | 1475 Engineering Dr, Madison, WI 53706-1607 | 2018-05-08 |
| 1780120758 | Emily Dorothy Campbell | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr, Madison, WI 53706-1607 | 2017-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639297344 | Takuya Minami | Psychologist | 305 Education Building, 1000 Bascom Mall, Counseling Psychology, University of Wisconsin-madison, Madison, WI 53706 | 2007-03-27 |
| 1073765202 | Kathern Elizabeth Myrna | Veterinarian | 2015 Linden Dr, Svm Dept Surgical Sciences- Ophthalmology, Madison, WI 53706-1100 | 2008-10-21 |
| 1861831679 | Constance Fazio | Veterinarian | 2015 Linden Dr, Uw Veterinary Care, Madison, WI 53706-1100 | 2013-06-14 |
| 1841546959 | Kenneth Russell Waller IIi | Veterinarian | 2015 Linden Dr, Room 2058, Madison, WI 53706-1100 | 2012-07-25 |
| 1376778829 | Uw-madison Vet Med Hospital Pharmacy | Pharmacy | 2015 Linden Dr, Uw Madison School of Veterinary Medicine Pharmacy, Madison, WI 53706-1100 | 2009-05-27 |
| 1922071083 | Jon C Douglas | Audiologist | 1975 Willow Dr, University of Wisconsin Speech and Hearing Clinic, Madison, WI 53706-1103 | 2006-02-09 |
| 1578730487 | Kimberly Marie Smuda | Audiologist | 1975 Willow Dr, Madison, WI 53706-1103 | 2008-05-09 |
| 1366618787 | Jamie Elizabeth Murray-branch | Speech-Language Pathologist | 1975 Willow Dr, Madison, WI 53706-1103 | 2008-05-06 |
| 1548433956 | Patricia B Schraeder | Speech-Language Pathologist | 1975 Willow Dr, Uw Madison Departmen, Madison, WI 53706-1103 | 2008-04-07 |
| 1073783692 | University Speech and Hearing Clinic | Clinic/Center | 1975 Willow Dr, Madison, WI 53706-1103 | 2008-03-11 |
| Find all providers in zip 53706 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204442 | Stephanie Copeland | Student in an Organized Health Care Education/Training Program | 2508 Castor Ln, Madison, IN 47250-2496 | 2020-10-26 |
| 1275130213 | Najla Ba Sharahil | Student in an Organized Health Care Education/Training Program | 600 Highland Avenue University of Wisconsin Hospitals A, Office H4/466, Madison, WI 53792-4108 | 2020-10-02 |
| 1992319321 | Caraline Putnam Walker | Student in an Organized Health Care Education/Training Program | 186 Forest Lake Dr, Madison, MS 39110-9428 | 2020-09-02 |
| 1902416969 | Cynthia Iradukunda | Student in an Organized Health Care Education/Training Program | University of Wisconsin School of Medicine and Public H, 600 Highland Ave, B6/319, Madison, WI 53792 | 2020-08-05 |
| 1215551932 | Kirsten Mccullough | Student in an Organized Health Care Education/Training Program | Uw Health University Hospital 600 Highland Ave, Madison, WI 53792-0001 | 2020-05-29 |
| 1467073783 | David Pontes | Student in an Organized Health Care Education/Training Program | 4906 Odana Rd, Madison, WI 53711-1337 | 2020-04-27 |
| 1154941672 | Olawale Temitope Oduru | Student in an Organized Health Care Education/Training Program | 600 Highland Ave. Uw Hospitals & Clinics, Madison, WI 53792-0001 | 2020-04-24 |
| 1730708298 | Raha Amini | Student in an Organized Health Care Education/Training Program | 470 Fairfield Dr, Madison, MS 39110-7543 | 2020-04-14 |
| 1306465026 | Allison Blumenfeld | Student in an Organized Health Care Education/Training Program | Uw Hospital & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-13 |
| 1205465291 | Jennifer A Mirrielees | Student in an Organized Health Care Education/Training Program | Uw Hospital 600 Highland Avenue, Madison, WI 53792-0001 | 2020-04-02 |
| Find all providers in MADISON | ||||
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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.