DR. JESSE KYLE SMITH (NPI# 1508391236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508391236 |
| Entity Type | Individual |
| Full Name | DR. JESSE KYLE SMITH |
| Credential | MD |
| Practice Address |
920 Stanton L Young Blvd G. Rainey Williams Pavillion 3rd Floor Oklahoma City OK 73104-5036 |
| Mailing Address |
5401 Flowerwood Ct Arlington TX 76017-6268 |
| Practice Telephone | 4052714468 |
| Mailing Telephone | 8173689530 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
33042 | OK | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 33042 | OK | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | TX | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790037828 | Jesse Garland Smith | Physician Assistant | 1533 Koch Ln, San Jose, CA 95125-4852 | 2012-10-13 |
| 1881821049 | Jesse Smith | Marriage & Family Therapist | 2288 Autumn Fire Ct, Las Vegas, NV 89117-8956 | 2009-06-15 |
| 1780838268 | Jesse Sawyer Smith | Occupational Therapist | 47 Old Post Rd N, Red Hook, NY 12571-2261 | 2008-11-10 |
| 1013091859 | Jesse C. Smith Jr. | Physical Therapist | 106a Woodland Dr, Lancaster, SC 29720 | 2006-10-25 |
| 1144845140 | Jesse Gerald Smith IIi | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-06-15 |
| 1972162063 | Jesse Marie Smith | Speech-Language Pathologist | 235 E 9th Ave, Anchorage, AK 99501-7501 | 2019-06-12 |
| 1144799628 | Jesse J Smith | Peer Specialist | 1700 S Assembly St Ste 300, Spokane, WA 99224-2116 | 2018-11-14 |
| 1174099170 | Jesse Enoch Smith | Nurse Practitioner | 182 16th St, Burlington, CO 80807-1649 | 2018-10-17 |
| 1508358177 | Jesse Smith | Dentist | 441 Marshall Dr, Saint Robert, MO 65584 | 2018-05-30 |
| 1003360884 | Jesse Smith | Nurse's Aide | 225 N Water Ave, Tahlequah, OK 74464-2825 | 2016-08-09 |
| Street Address |
920 STANTON L YOUNG BLVD G. RAINEY WILLIAMS PAVILLION 3RD FLOOR |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-5036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962402321 | Alexandra P Ikeguchi | Internal Medicine | 920 Stanton L Young Blvd, Wp 2040, Oklahoma City, OK 73104-5033 | 2005-07-28 |
| 1346859766 | Jeffrey Henry | Registered Nurse | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 | 2020-07-31 |
| 1861016180 | Austin Clanton | Student in an Organized Health Care Education/Training Program | 920 Stanton L Young Blvd, Williams Pavilion 2040, Oklahoma City, OK 73104 | 2020-06-02 |
| 1003439308 | Taylor Rose Greif | Clinical Neuropsychologist | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 | 2020-05-20 |
| 1043832033 | Travis Hammett Wilmore | Student in an Organized Health Care Education/Training Program | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 | 2020-05-12 |
| 1912536269 | Delaina Larae Davis | Nurse Practitioner | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 | 2020-04-07 |
| 1790312916 | Amine Barkat | Student in an Organized Health Care Education/Training Program | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 | 2020-03-26 |
| 1245897859 | Theodore Christopher Brisimitzakis | Student in an Organized Health Care Education/Training Program | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 | 2019-05-20 |
| 1538725502 | Vishal Amrutlal Patel | Student in an Organized Health Care Education/Training Program | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 | 2019-05-15 |
| 1376108340 | Bahram Rabbani | Student in an Organized Health Care Education/Training Program | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 | 2019-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700385481 | Reeder Psychiatry Pllc | Psychiatry & Neurology | 2515 Nw 16th St, Oklahoma City, OK 73107-4839 | 2018-02-07 |
| 1568997401 | Erin Walling | Psychiatry & Neurology | 920 Stanton L Young Blvd Ste 3440, Oklahoma City, OK 73104-5036 | 2017-04-28 |
| 1992259501 | Tranquil Psychiatry Clinic,llc | Psychiatry & Neurology | 333 Nw 5th St, Apt. No. 1010, Oklahoma City, OK 73102-3080 | 2016-08-11 |
| 1679937197 | Geetika M Verma Md Plcc | Psychiatry & Neurology | 5100 N Brookline Ave Bldg Suite360, Oklahoma City, OK 73112-3623 | 2016-04-11 |
| 1104232768 | Ayesha Sattar | Psychiatry & Neurology | 920 Stanton L Young Blvd # Wp3039, Oklahoma City, OK 73104-5036 | 2014-07-03 |
| 1457791444 | Thuy Hong Nguyen | Psychiatry & Neurology | 5100 N Brookline Ave Ste 900, Oklahoma City, OK 73112-3630 | 2013-07-05 |
| 1851684971 | Spring Child & Adult Psychiatry Pllc | Psychiatry & Neurology | 11032 Quail Creek Rd Ste 107, Oklahoma City, OK 73120-6208 | 2011-05-23 |
| 1093941452 | Courtney Nixon | Psychiatry & Neurology | 3135 Nw 63rd St, Suite A, Oklahoma City, OK 73116-3701 | 2009-05-29 |
| 1982856548 | Sebastian PC | Psychiatry & Neurology | 4100 W Memorial, Suite 221, Oklahoma City, OK 73120 | 2008-10-15 |
| 1932312691 | Andrea James | Psychiatry & Neurology | 1330 N Classen Blvd Ste 112, Oklahoma City, OK 73106-6834 | 2007-05-08 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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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.