JENNIFER LAUREN SMITH (NPI# 1366003840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366003840 |
| Entity Type | Individual |
| Full Name | JENNIFER LAUREN SMITH |
| Practice Address |
585 N 500 W Provo UT 84601-1548 |
| Mailing Address |
838 W 2000 N Provo UT 84604-1245 |
| Practice Telephone | 8013741801 |
| Practice Fax Number | 0121683578 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
10226501 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497362164 | Jennifer K Smith | Homemaker | 6405 Zachary Dr, Sandusky, OH 44870-8617 | 2020-09-28 |
| 1164038634 | Jennifer Lynn Smith | Technician | 2445 Packs Branch Rd, Mount Hope, WV 25880-6523 | 2020-09-21 |
| 1982215638 | Jennifer D Smith | Technician | 355 Valley View Ave, Keyser, WV 26726-2631 | 2020-08-14 |
| 1760093868 | Jennifer Smith | Social Worker | 8927 Curbaril Ave, Atascadero, CA 93422-5252 | 2020-08-12 |
| 1750905154 | Jennifer Dawn Smith | Registered Nurse | 624 W 1825 N, Centerville, UT 84014-3146 | 2020-06-01 |
| 1497378962 | Jennifer Morgan Smith | Speech-Language Pathologist | 110 Jeremy Ct, Easton, PA 18045-2162 | 2020-05-19 |
| 1811518566 | Jennifer C Smith | Counselor | 111 Red Fawn Rd, Brewster, MA 02631-2058 | 2020-05-05 |
| 1477182400 | Jennifer Eileen Smith | Dietitian, Registered | 7439 Chummley Ct, Falls Church, VA 22043-2938 | 2020-04-02 |
| 1134754526 | Jennifer Weston Smith | Massage Therapist | 1829 Ne 58th St, Seattle, WA 98105-2440 | 2020-03-06 |
| 1588294938 | Jennifer Lynn Smith | Doula | 7291 Enders Ave, San Diego, CA 92122-2808 | 2020-01-23 |
| Street Address |
585 N 500 W |
| City | PROVO |
| State | UT |
| Zip Code | 84601-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639150485 | Jeffrey Charles Broberg | Obstetrics & Gynecology | 585 N 500 W, Provo, UT 84601-1548 | 2005-11-09 |
| 1396397733 | Karlie Porter | Advanced Practice Midwife | 585 N 500 W, Provo, UT 84601-1548 | 2019-07-16 |
| 1366004244 | Brittany Elise Mccready | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2019-07-01 |
| 1437613874 | Tiniesha Lynn Jensen | Registered Nurse | 585 N 500 W, Provo, UT 84601-1548 | 2019-01-30 |
| 1992279392 | Valley Obstetrics and Gynecology, P.C. | Obstetrics & Gynecology | 585 N 500 W, Provo, UT 84601-1548 | 2019-01-18 |
| 1346718764 | Valley Obstetrics and Gynecology, P.C. | Clinical Medical Laboratory | 585 N 500 W, Provo, UT 84601-1548 | 2018-11-03 |
| 1770021123 | Tina Nackos | Advanced Practice Midwife | 585 N 500 W, Provo, UT 84601-1548 | 2017-02-06 |
| 1437607876 | Sarah Roberts | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2016-09-14 |
| 1952786196 | Stephanie Miller | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2015-07-29 |
| 1427436559 | Steven Cowles | Obstetrics & Gynecology | 585 N 500 W, Provo, UT 84601 | 2015-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
| Find all providers in zip 84601 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366004244 | Brittany Elise Mccready | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2019-07-01 |
| 1437607876 | Sarah Roberts | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2016-09-14 |
| 1821114505 | Jennifer Ann Booth | Nurse Practitioner | 920 N 500 W, Provo, UT 84604-3339 | 2007-03-22 |
| 1063538775 | Heidi Mcsweeney | Nurse Practitioner | 920 N 500 W, Provo, UT 84604-3339 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237745 | Tiffani Jane Guymon | Nurse Practitioner | 527 W 400 N Ste 4, Orem, UT 84057-1951 | 2019-04-15 |
| 1356742233 | Jutta Deininger | Nurse Practitioner | 1950 Circle of Hope, Clinic 3a, Salt Lake City, UT 84112-5550 | 2014-09-10 |
| 1295166809 | Marnae Harward | Nurse Practitioner | 1140 E 3900 S, Ste 400, Salt Lake City, UT 84124-1228 | 2013-12-06 |
| 1508046772 | Patricia Marie James | Nurse Practitioner | 1580 W Antelope Dr, Suite 290, Layton, UT 84041-1160 | 2007-11-05 |
| 1689716888 | A. Sue Montiel | Nurse Practitioner | 24 S 1100 E, Ste 209, Salt Lake City, UT 84102-1580 | 2007-02-13 |
| 1659463404 | Ena C. Cardona-mason | Nurse Practitioner | 1350 N 500 E, Logan, UT 84341-2400 | 2006-09-29 |
| 1912937343 | Lisa Ann Borunda | Nurse Practitioner | 295 S 1470 E Ste 300, Saint George, UT 84790-1762 | 2006-07-03 |
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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.