MS. JESSICA ANN SMITH (NPI# 1093251076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093251076 |
| Entity Type | Individual |
| Full Name | MS. JESSICA ANN SMITH |
| Credential | CRNP |
| Practice Address |
107 Staunton Dr # 9 Weston WV 26452-5604 |
| Practice Telephone | 3042692022 |
| Mailing Telephone | 3042692022 |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
SP017040 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1093251076 | 05 |
| 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 |
107 STAUNTON DR # 9 |
| City | WESTON |
| State | WV |
| Zip Code | 26452-5604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547136 | Sara Knotts | Technician | 102 Upper St, Weston, WV 26452 | 2020-10-30 |
| 1003414301 | Sarah Bowman | Technician | 55 4b Mobile Estates, Weston, WV 26452 | 2020-10-09 |
| 1962019752 | Victoria Louise Riggs | Pharmacist | 250 Court Street, Weston, WV 26452 | 2020-09-26 |
| 1710472188 | Brandi Nicole Miller | Occupational Therapist | 150 John St Ste C, Weston, WV 26452 | 2018-06-27 |
| 1184022428 | Community Care of West Virginia, Inc. | Pharmacy | 107 Staunton Dr, Weston, WV 26452 | 2014-12-19 |
| 1073944658 | Community Care of West Virginia, Inc. | Clinic/Center | 149 Staunton Drive, Weston, WV 26452 | 2013-12-06 |
| 1033452552 | Julie Ann Haddix | Nurse Practitioner | 29 Hospital Plz Ste E, Weston, WV 26452 | 2013-04-03 |
| 1972605608 | Phillip Mansfield Spaur | Chiropractor | 346 East 3rd Street, Weston, WV 26452 | 2006-09-02 |
| 1003918202 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | Market Place Plaza, Suite1c, Weston, WV 26452 | 2006-09-01 |
| 1093825432 | Khalid Mahmoud | Internal Medicine | 66 Hospital Plaza Suite 104, Weston, WV 26452 | 2006-08-30 |
| Find all providers in zip 26452 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356816201 | Khamal Misra | Nurse Practitioner | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2018-10-08 |
| 1538693932 | Katherine Flint | Nurse Practitioner | 149 Staunton Dr, Weston, WV 26452-5604 | 2017-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664143 | Mousumi Pinki | Nurse Practitioner | 353 Villa View Dr, Morgantown, WV 26505-2092 | 2020-09-17 |
| 1881209971 | Amber Nicole Smarr | Nurse Practitioner | 764 Harness Road, Fenwick, WV 26202 | 2020-09-15 |
| 1114547130 | Karen Beth Hill | Nurse Practitioner | 130 Brighton Cir, Princeton, WV 24739-9153 | 2020-04-20 |
| 1700416013 | Charles Brian Young | Nurse Practitioner | 350 Cheswick Dr, Martinsburg, WV 25403-7526 | 2020-01-26 |
| 1760036479 | Jessica Lynn Franke | Nurse Practitioner | 242 Kruger St, Wheeling, WV 26003-5166 | 2019-07-31 |
| 1659979011 | Jerica Elaine Bobo | Nurse Practitioner | 22347 Northwestern Pike, Romney, WV 26757-6343 | 2020-10-16 |
| 1407460918 | Jordan Nicole Kesler | Nurse Practitioner | 527 Medical Park Dr Ste 501, Bridgeport, WV 26330-9010 | 2020-09-02 |
| 1568072106 | Kelli Marie Morrow | Nurse Practitioner | 61 Campus Dr, Martinsburg, WV 25404-7542 | 2020-08-07 |
| 1083250963 | Tanya Ann Maddy | Nurse Practitioner | 1710 Harper Rd, Beckley, WV 25801-3397 | 2019-11-26 |
| 1477114221 | Caitlin Johnson | Nurse Practitioner | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2019-06-24 |
| 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.