JENNIFER SMITH (NPI# 1932610714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932610714 |
Entity Type | Individual |
Full Name | JENNIFER SMITH |
Other Name | JENNIFER PECK |
Credential | PA-C |
Practice Address |
3333 Silas Creek Pkwy Winston Salem NC 27103-3013 |
Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
Practice Telephone | 3362778800 |
Practice Fax Number | 3362778850 |
Enumeration Date | 2017-10-19 |
Last Update Date | 2020-10-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | 0010-07663 | NC | Allopathic & Osteopathic Physicians |
Y | 363A00000X | Physician Assistant | 0010-07663 | NC | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497362164 | Jennifer K Smith | Homemaker | 6405 Zachary Dr, Sandusky, OH 44870-8617 | 2020-09-28 |
1164038634 | Jennifer Lynn Smith | Technician | 2445 Packs Branch Rd, Mount Hope, WV 25880-6523 | 2020-09-21 |
1982215638 | Jennifer D Smith | Technician | 355 Valley View Ave, Keyser, WV 26726-2631 | 2020-08-14 |
1760093868 | Jennifer Smith | Social Worker | 8927 Curbaril Ave, Atascadero, CA 93422-5252 | 2020-08-12 |
1750905154 | Jennifer Dawn Smith | Registered Nurse | 624 W 1825 N, Centerville, UT 84014-3146 | 2020-06-01 |
1497378962 | Jennifer Morgan Smith | Speech-Language Pathologist | 110 Jeremy Ct, Easton, PA 18045-2162 | 2020-05-19 |
1811518566 | Jennifer C Smith | Counselor | 111 Red Fawn Rd, Brewster, MA 02631-2058 | 2020-05-05 |
1477182400 | Jennifer Eileen Smith | Dietitian, Registered | 7439 Chummley Ct, Falls Church, VA 22043-2938 | 2020-04-02 |
1134754526 | Jennifer Weston Smith | Massage Therapist | 1829 Ne 58th St, Seattle, WA 98105-2440 | 2020-03-06 |
1588294938 | Jennifer Lynn Smith | Doula | 7291 Enders Ave, San Diego, CA 92122-2808 | 2020-01-23 |
Street Address |
3333 SILAS CREEK PKWY |
City | WINSTON SALEM |
State | NC |
Zip Code | 27103-3013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700880440 | Joy L Csikos | Physician Assistant | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2005-06-10 |
1861092421 | Madison Ann Cline | Physician Assistant | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-10-31 |
1285241083 | Erin Elphick | Physician Assistant | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-09-25 |
1851909626 | Alex Joseph Holton | Registered Nurse | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-07-17 |
1497370191 | Karen Shugart | Nurse Practitioner | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-06-09 |
1831721299 | Brianna Elaine Marks | Nurse Practitioner | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-02-04 |
1952946659 | Jennifer Michelle Lucio | Nurse Practitioner | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-11-18 |
1336799527 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-09-19 |
1467001503 | Hannah Dibble Palmer | Nurse Practitioner | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-09-11 |
1659926012 | Jamie Kornelis Hobson | Registered Nurse | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-08-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
Find all providers in zip 27103 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598375032 | Anthony Gentile | Physician Assistant | 2632 Wynbrook Dr, Winston Salem, NC 27103-8005 | 2020-08-07 |
1376152074 | Meera Shah | Physician Assistant | 3288 Robinhood Rd Ste 202, Winston Salem, NC 27106-5464 | 2020-07-28 |
1770118457 | Heather Leigh Bissell | Physician Assistant | 153 Lavender Ln, Winston Salem, NC 27107-6023 | 2020-03-03 |
1245899806 | Cheryl L Sizer | Physician Assistant | Wake Forest Baptist Health 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2019-06-07 |
1235606575 | Vincent James Alderete | Physician Assistant | Wake Forest Baptist Health 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2018-10-25 |
1386127538 | Frederick Keith Stirewalt | Physician Assistant | Medical Center Blvd Faithhealth, Winston Salem, NC 27157-0001 | 2018-09-13 |
1164936852 | Lindsay Webster | Physician Assistant | 10479 Nc-109, 107a, Winston Salem, NC 27107 | 2017-11-17 |
1518477694 | Raul Canchari Ames | Physician Assistant | 512 Waughtown St, Winston Salem, NC 27127-2236 | 2017-10-03 |
1922528611 | Devon Adams | Physician Assistant | 1 Medical Center Blvd Gastroenterology Dept, Winston Salem, NC 27157-7223 | 2017-06-22 |
1053862474 | Seguin Warwick Beuerlein | Physician Assistant | 2425 Riley Forest Dr, Winston Salem, NC 27127-7573 | 2016-10-20 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27103 |
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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.