JESSIE SMITH (NPI# 1730624511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730624511 |
| Entity Type | Individual |
| Full Name | JESSIE SMITH |
| Credential | ATC |
| Practice Address |
1157 N 300 W Ste 201 Provo UT 84604-6124 |
| Practice Telephone | 8013571200 |
| Mailing Telephone | 8013571200 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
7384705-4810 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548712615 | Jessie Smith | Occupational Therapist | 40 N Hurricane Hls, Boston, KY 40107-7500 | 2016-10-25 |
| 1962952911 | Jessie Smith | Specialist/Technologist | 810 S Green St, Salt Lake City, UT 84102-3512 | 2016-10-13 |
| 1063766830 | Jessie Rosanne Smith | Social Worker | 3778 N Meridian Rd, Olney, IL 62450-4815 | 2012-11-01 |
| 1003918319 | Jessie Dean Smith | Chiropractor | 115 S. 15th, Suite C, Pocatello, ID 83201 | 2006-09-05 |
| 1528625282 | Jessie Smith Jr. | Social Worker | 205 Memorial Dr, Pinehurst, NC 28374-8712 | 2019-05-28 |
| 1255899050 | Jessie Smith | Registered Nurse | 645 Parfet St, Lakewood, CO 80215-5574 | 2019-03-11 |
| 1447415575 | Jessie C Smith | Physical Therapy Assistant | 6025 Primacy Pkwy, Memphis, TN 38119-5763 | 2008-07-29 |
| Street Address |
1157 N 300 W STE 201 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-6124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093088445 | Laurie Melissa Centeno | Physician Assistant | 1157 N 300 W Ste 201, Provo, UT 84604-6124 | 2012-02-15 |
| 1629699822 | Allison Hale | Specialist/Technologist | 1157 N 300 W Ste 201, Provo, UT 84604-6124 | 2020-04-29 |
| 1477198349 | Chelsea Ashton | Specialist/Technologist | 1157 N 300 W Ste 201, Provo, UT 84604-6124 | 2019-11-14 |
| 1124411426 | Hayley Ann Brown | Physician Assistant | 1157 N 300 W Ste 201, Provo, UT 84604 | 2015-03-10 |
| 1144664681 | Claire A Gross | Physical Medicine & Rehabilitation | 1157 N 300 W Ste 201, Provo, UT 84604-6124 | 2013-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847161 | Tara Marquez | Specialist/Technologist | Brigham Young University Sports Medicine 123 Sab, Provo, UT 84602 | 2020-06-26 |
| 1053935551 | Olivia Stiles | Specialist/Technologist | 200 E 515 N, Provo, UT 84606 | 2020-06-01 |
| 1780210062 | Andrew Jacob Roush | Specialist/Technologist | 226 E 400 N, Provo, UT 84606-2914 | 2020-03-18 |
| 1578194577 | Veronica R Montes | Specialist/Technologist | 1060 E 450 N Apt 335, Provo, UT 84606-3433 | 2020-01-28 |
| 1417591728 | Christine Padilla | Specialist/Technologist | 331 Student Athlete Building, Provo, UT 84602 | 2019-10-30 |
| 1093356131 | Krystall Greenwell | Specialist/Technologist | 1130 Smith Field House, Brigham Young University, Provo, UT 84604-8460 | 2019-09-30 |
| 1174173710 | Kathleen Nichole Thiriot | Specialist/Technologist | 396 S 1350 E, Provo, UT 84606-5320 | 2019-09-16 |
| 1083270276 | Jessica Marie Wetsel | Specialist/Technologist | 761 W 600 S Apt 14, Provo, UT 84601-4125 | 2019-05-14 |
| 1558829911 | Devin Anderson | Specialist/Technologist | 123 Sab, Provo, UT 84602-1547 | 2019-03-05 |
| 1376016790 | Carolyn Billings | Specialist/Technologist | 1140 Smith Fieldhouse, Provo, UT 84602-2246 | 2019-01-08 |
| Find all providers in PROVO | ||||
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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.