JESSICA T SMITH (NPI# 1912409780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912409780 |
| Entity Type | Individual |
| Full Name | JESSICA T SMITH |
| Credential | DMH DD PROVIDER |
| Practice Address |
1100 Kennesaw Ridge Rd Unit 807 Columbia MO 65202-4864 |
| Mailing Address |
303 Macaw Dr Columbia MO 65202-6284 |
| Practice Telephone | 5739909999 |
| Mailing Telephone | 7733326106 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
Respite Care Facility | ||
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| N | 253Z00000X | In Home Supportive Care | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454705 | Jessica Elaine Smith | Technician | 1255 Mckinney Cave Rd, Reedsville, WV 26547-7211 | 2020-10-09 |
| 1639781412 | Jessica Marie Smith | Physical Therapist | 10 Village West Dr Ste A, Senoia, GA 30276-3549 | 2020-08-21 |
| 1063037695 | Jessica Hanne Smith | Doula | 1580 Nw 17th St, Corvallis, OR 97330-2532 | 2020-06-09 |
| 1124642442 | Jessica Annmarie Smith | Technician, Cardiology | 6612 Anthony Ave, Garden Grove, CA 92845-2208 | 2020-06-02 |
| 1700410263 | Jessica Smith | Technician | 4112 Sugar Maple Ln, Little Rock, AR 72223-2161 | 2020-02-24 |
| 1033755442 | Jessica Smith | Registered Nurse | 8416 Avon St, Jamaica, NY 11432-2302 | 2019-11-20 |
| 1366088981 | Jessica Ann Smith | Registered Nurse | 26716 Kingswood Dr, Olmsted Twp, OH 44138-2135 | 2019-11-19 |
| 1891340584 | Jessica Lynn Smith | Nurse Practitioner | 3009 Sw Moore St, Blue Springs, MO 64015-3309 | 2019-08-08 |
| 1881248995 | Jessica Marie Smith | Genetic Counselor, MS | 1301 Palm Ave Ste 7a004, Jacksonville, FL 32207-8432 | 2019-07-26 |
| 1053965459 | Jessica Lynn Smith | Homemaker | 257 Sw Vann Ct, Lake City, FL 32024-3893 | 2019-07-25 |
| Street Address |
1100 KENNESAW RIDGE RD UNIT 807 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65202-4864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588151799 | Jp Home Care LLC | In Home Supportive Care | 1100 Kennesaw Ridge Rd, Unit 807, Columbia, MO 65202 | 2018-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1245871540 | Ranshell Micole Harrington | Registered Nurse | 7455 Noah Court Columbia, Mo65202, Columbia, MO 65202 | 2019-10-08 |
| 1326514381 | Clark Supported Living | Registered Nurse | 303 Macaw Dr, Columbia, MO 65202 | 2018-10-17 |
| 1851873608 | Phoenix Programs, Inc. | Counselor | 90 E. Leslie Ln., Columbia, MO 65202 | 2018-08-29 |
| 1760973044 | Centerpointe Hospital of Columbia, LLC | Psychiatric Hospital | 1201 International Drive, Columbia, MO 65202 | 2018-05-23 |
| 1710409198 | Lena-frances Sheets | Counselor | 3509 Deer Run Drive, Columbia, MO 65202 | 2017-07-07 |
| 1235669037 | Henry William Clark | Counselor | 409 Vandiver West Bldg 6, Suite 102a, Great Circle, Columbia, MO 65202 | 2017-06-14 |
| 1083065148 | Waleed Raheem Abood Abood | Psychiatry & Neurology | 1 Hospital Drive, Ste 507, Columbia, MO 65202 | 2016-06-29 |
| 1871993923 | Li Ma | Physician Assistant | 1909 Mayberry Drive, Columbia, MO 65202 | 2014-08-26 |
| 1134543614 | Meghan Lees | Nurse Anesthetist, Certified Registered | 4608 Waterloo Driv, Ste 170, Columbia, MO 65202 | 2014-02-05 |
| Find all providers in zip 65202 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508103896 | Life Christain Outreach | Respite Care | 3251 Pinetree Dr, Columbia, MO 65201-1706 | 2013-01-07 |
| 1396885620 | Life Christian Outreach | Respite Care | 10900 E Highway Ww, Columbia, MO 65201-8778 | 2007-02-07 |
| 1093855314 | Linda Ordway | Respite Care | 1250 N Dozier Station Rd, Columbia, MO 65202-7798 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740445956 | Eunique Child Care | Respite Care | 8608 E.87th St., Raytown, MO 64138-4401 | 2008-07-28 |
| 1306011390 | Addie Lee Manlove | Respite Care | 7443 Campbell St, Kansas City, MO 64131-1642 | 2008-04-29 |
| 1629253380 | St. Charles County Association for Retarded Citizens | Respite Care | 107 Sheriff Dierker Ct, O Fallon, MO 63366-2468 | 2007-12-31 |
| 1396942348 | Life Christian Outreach | Respite Care | 106 Galewood Dr, Branson, MO 65616-7289 | 2007-07-02 |
| 1952518854 | Community Care | Respite Care | 23043 County Road 316, Oran, MO 63771-8215 | 2007-05-17 |
| 1124155916 | Chariton Valley Association, Inc. | Respite Care | 1708 E Laharpe St, Kirksville, MO 63501-3981 | 2007-02-27 |
| 1639219967 | Philip Greg Ordway | Respite Care | 105 Galewood Dr, Branson, MO 65616-7289 | 2007-02-07 |
| 1548725724 | Avant Supported Living LLC | Respite Care | 734 W Monroe St, Mexico, MO 65265-1970 | 2019-02-01 |
| 1700084506 | Philip Ordway | Respite Care | 106 Galewood Dr, Branson, MO 65616-7289 | 2007-07-03 |
| 1194866020 | Cole County Residential Services, Inc | Respite Care | 1800 Tanner Bridge Rd, Jefferson City, MO 65101-2848 | 2007-02-12 |
| Find all providers with the same taxonomy | ||||
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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.