JEREMY MATTHEW SMIDDY (NPI# 1477196012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477196012 |
| Entity Type | Individual |
| Full Name | JEREMY MATTHEW SMIDDY |
| Credential | RN |
| Practice Address |
1165 Airport Blvd Austin TX 78702-3152 |
| Mailing Address |
1430 Collier St Austin TX 78704-2911 |
| Practice Telephone | 5127031365 |
| Practice Fax Number | 5128043457 |
| Mailing Telephone | 5124274357 |
| Mailing Fax Number | 5127031394 |
| Enumeration Date | 2019-10-27 |
| Last Update Date | 2019-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 798313 | TX | Nursing Service Providers |
| Street Address |
1165 AIRPORT BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78702-3152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558571489 | Joan Cook Chapmond | Registered Nurse | 1165 Airport Blvd, Austin, TX 78702-3152 | 2007-05-22 |
| 1174121594 | Jason Henderson | Registered Nurse | 1165 Airport Blvd, Austin, TX 78702-3152 | 2020-10-16 |
| 1588278667 | Magnolia Deloise Cavanaugh | Counselor | 1165 Airport Blvd, Austin, TX 78702-3152 | 2020-09-04 |
| 1609401173 | Sidney Douglas | Social Worker | 1165 Airport Blvd, Austin, TX 78702-3152 | 2020-03-05 |
| 1861024937 | Samantha Josephine Montemayor | Counselor | 1165 Airport Blvd, Austin, TX 78702-3152 | 2020-02-06 |
| 1386291003 | Roberta Jean Randall | Licensed Vocational Nurse | 1165 Airport Blvd, Austin, TX 78702-3152 | 2019-08-19 |
| 1609422385 | Stephanie L Virata | Licensed Vocational Nurse | 1165 Airport Blvd, Austin, TX 78702-3152 | 2019-08-17 |
| 1992358154 | Trenton Ray Turner | Counselor | 1165 Airport Blvd, Austin, TX 78702-3152 | 2019-07-17 |
| 1396304143 | Stephen Morocco | Nurse Practitioner | 1165 Airport Blvd, Austin, TX 78702-3152 | 2019-06-06 |
| 1043771504 | Jennifer M Ozzello | Registered Nurse | 1165 Airport Blvd, Austin, TX 78702-3152 | 2019-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487207171 | Enamel Dentistry Saltillo, Pllc | Clinic/Center | 901 E. 5th Street, Suite 170, Austin, TX 78702 | 2019-07-22 |
| 1730678616 | Marci Lawson | Counselor | 1103 Cherico St Unit 3, Austin, TX 78702 | 2018-05-06 |
| 1730608340 | Gloria Robertson Hatfield | Social Worker | 501 N I-35, Ste 112, Austin, TX 78702 | 2017-09-14 |
| 1083063168 | Nona Mason | Nurse Practitioner | Ascension Seton Mccarthy Community Health Center, 2811 East 2nd Street, Austin, TX 78702 | 2016-06-08 |
| 1124487467 | Sarah Beth Mclaughlin | Social Worker | 1631 E. 2nd St., Bldg. E, Austin, TX 78702 | 2016-02-15 |
| 1972969590 | Austin Mind Body | Counselor | 905 E. 5th Street, Suite 102, Austin, TX 78702 | 2016-01-12 |
| 1972976777 | Stacy Griffin | Social Worker | 1631 E. 2nd Street, Austin, TX 78702 | 2015-11-03 |
| 1396111894 | Jocelyn Jarmon | Health Maintenance Organization | 1803 Ulit Avenue, Austin, TX 78702 | 2015-08-19 |
| 1396142972 | Jillessa Fiorillo | Social Worker | 1631-d East 2nd Street, Austin, TX 78702 | 2014-11-26 |
| 1518390962 | Emily Anna Murray | Physical Therapist | 1621 E 6th St # 11488, Austin, TX 78702 | 2013-08-20 |
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| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445762 | Katherina Maria Walker | Registered Nurse | 15910 Two Rivers Cv, Austin, TX 78717-5312 | 2020-10-17 |
| 1700494259 | Kassandra Marie Perez | Registered Nurse | 8200 N Mopac Expy Ste 285, Austin, TX 78759-8981 | 2020-07-21 |
| 1528684289 | Kelsey Mcminn | Registered Nurse | 12219 Dundee Dr # B, Austin, TX 78759-3662 | 2020-06-18 |
| 1144844010 | Westways Staffing Services Inc | Registered Nurse | 3701 Executive Center Dr Ste 151, Austin, TX 78731-1679 | 2020-06-05 |
| 1265060495 | Walter Lee Underwood | Registered Nurse | 600 S 1st St Apt 338, Austin, TX 78704-1108 | 2020-04-01 |
| 1184259673 | Danielle Denise King | Registered Nurse | 701 Center Ridge Dr Apt 1039, Austin, TX 78753-1290 | 2020-03-05 |
| 1063046746 | William Dewease II | Registered Nurse | 12813 Galleria Cir, Austin, TX 78738-6750 | 2020-03-02 |
| 1134751464 | Hailee Janek | Registered Nurse | 3501 Ranch Road 620 S Apt 8002, Austin, TX 78738-6929 | 2020-02-05 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1982247094 | Carolyn Marie Wisco | Registered Nurse | 3001 S Congress Ave Ste 100, Austin, TX 78704-6489 | 2019-10-21 |
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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.