JACKIE SMITH (NPI# 1588030688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588030688 |
| Entity Type | Individual |
| Full Name | JACKIE SMITH |
| Practice Address |
2529 Six Mile Ln Louisville KY 40220-2934 |
| Mailing Address |
12201 Bluegrass Pkwy Louisville KY 40299-2361 |
| Practice Telephone | 5024915560 |
| Practice Fax Number | 5024910214 |
| Mailing Telephone | 5025687364 |
| Mailing Fax Number | 5025687136 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3009478 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235480146 | Jackie Ann Smith | Licensed Practical Nurse | 2065 Aaron Dr, Middletown, OH 45044-3646 | 2012-10-02 |
| 1609186576 | Jackie L Smith | Dentist | 154 Welford Ln, Branson, MO 65616-3418 | 2010-10-13 |
| 1053595660 | Jackie M Smith | Counselor | 6512 20th Street Ct W Ste B2, Fircrest, WA 98466-6212 | 2007-12-19 |
| 1154543866 | Jackie Smith Jr. | Counselor | 9100 Brentwood Blvd, Brentwood, CA 94513-4000 | 2007-05-03 |
| 1710345780 | Jackie L Smith | Physical Therapist | 1110 S Adams St, Fulton, MS 38843-8952 | 2016-02-05 |
| 1760756985 | Jackie Lynn Smith | Physician Assistant | 9100 Babcock Blvd, Suite 2096, Pittsburgh, PA 15237-5815 | 2012-03-06 |
| 1184671638 | Jackie Smith | Nurse Practitioner | 1 Tampa General Cir, Suite G415, Tampa, FL 33606-3571 | 2006-05-30 |
| Street Address |
2529 SIX MILE LN |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40220-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285614982 | Hqm of Meadows East, LLC | Skilled Nursing Facility | 2529 Six Mile Ln, Louisville, KY 40220-2934 | 2006-01-19 |
| 1023513470 | Jamie Nicole Baker | Physical Therapist | 2529 Six Mile Ln, Louisville, KY 40220-2934 | 2018-03-28 |
| 1083114730 | Gina Ann Green | Nurse Practitioner | 2529 Six Mile Ln, Louisville, KY 40220-2934 | 2018-02-20 |
| 1518375443 | Stephanie Burres | Nurse Practitioner | 2529 Six Mile Ln, Louisville, KY 40220-2934 | 2014-07-23 |
| 1316188584 | New Bay Dialysis LLC | Clinic/Center | 2529 Six Mile Ln, Louisville, KY 40220-2934 | 2009-03-17 |
| 1417132614 | Shc Medical Partners of Kentucky, LLC | Social Worker | 2529 Six Mile Ln, Louisville, KY 40220 | 2008-01-07 |
| 1982895256 | Lp Louisville East LLC | Skilled Nursing Facility | 2529 Six Mile Ln, Louisville, KY 40220-2934 | 2007-08-05 |
| 1841406220 | Total Renal Care Inc | Clinic/Center | 2529 Six Mile Ln, Louisville, KY 40220-2934 | 2007-05-15 |
| 1528188984 | Dana L. Sears, Arnp, LLC | Nurse Practitioner | 2529 Six Mile Ln, Suite 105, Louisville, KY 40220-2934 | 2007-03-30 |
| 1740389121 | Carmen Denene Byars | Nurse Practitioner | 2529 Six Mile Ln, Louisville, KY 40220-2934 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502560 | Louis James Walker IIi | Physical Therapist | 8904 Elks Bluff Drive, Unit 02206, Apt 206, Louisville, KY 40220 | 2020-09-10 |
| 1396207148 | Kristan Shay Swindler | Specialist/Technologist, Other | 3008 Furman Blvd., Louisville, KY 40220 | 2019-04-02 |
| 1033686191 | Reine Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3405 Breckenridge Lane, Louisville, KY 40220 | 2018-10-26 |
| 1053828145 | Angelique Marie Leist | Registered Nurse | 3103 Breckenridge Ln Ste 1, Louisville, KY 40220 | 2018-01-10 |
| 1811413925 | Virginia Zimlich | Physical Therapist | 2807 Alice Ave, Louisville, KY 40220 | 2017-08-21 |
| 1255860649 | Susan Marie Elder | Registered Nurse | 2816 Esther Blvd, Louisville, KY 40220 | 2017-06-08 |
| 1215300611 | Katie Kipfer | Day Training/Habilitation Specialist | 3902 Graf Drive, Louisville, KY 40220 | 2015-11-06 |
| 1639547987 | Meghan Hillerich | Home Health | 13 Canterbury Drive, Louisville, KY 40220 | 2015-09-03 |
| 1376921098 | Dental Services of Kentucky, Psc | Dentist | 3946 Taylorsville Rd., Louisville, KY 40220 | 2015-05-14 |
| 1093103574 | Joann Bartolone Murphy | Developmental Therapist | 3717 Taylorsville Rd., Louisville, KY 40220 | 2015-01-06 |
| Find all providers in zip 40220 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40220 |
Please comment or provide details below to improve the information on JACKIE 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.