JASON SMITH (NPI# 1629131305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629131305 |
| Entity Type | Individual |
| Full Name | JASON SMITH |
| Credential | PMHNP |
| Practice Address |
3995 Marcola Rd Springfield OR 97477-7948 |
| Practice Telephone | 5417261465 |
| Practice Fax Number | 5417265085 |
| Mailing Telephone | 5417261465 |
| Mailing Fax Number | 5417265085 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2017-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
201606339NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874250 | Jason Joseph Smith | Nurse Practitioner | 60 Meadowlark Dr, Penfield, NY 14526-2036 | 2020-06-08 |
| 1790309565 | Jason C Smith | Military Health Care Provider | 113 Barrington Ct, Maple Hill, NC 28454-8659 | 2020-06-08 |
| 1033695564 | Jason Smith | Nurse Practitioner | 413 Sanner St, Edwardsville, IL 62025-1080 | 2018-07-18 |
| 1619335429 | Jason Smith | Social Worker | 1025 Se 23rd St, Okeechobee, FL 34974-5362 | 2016-02-08 |
| 1013374289 | Jason Smith | Physical Therapy Assistant | 960 S Logan St Apt 101, Denver, CO 80209-4148 | 2016-01-19 |
| 1902273394 | Jason Richard Smith | Physical Therapist | 300 E College Way Ste B, Mount Vernon, WA 98273-5429 | 2015-09-01 |
| 1083006670 | Jason T. Smith | Physician Assistant | 4419 Bearberry Ave, Baytown, TX 77521-1677 | 2015-02-19 |
| 1790183010 | Jason Smith | Technician | 19 Oracle Ct, Sacramento, CA 95823-4086 | 2014-12-18 |
| 1982016648 | Jason Smith | Student in an Organized Health Care Education/Training Program | 8809 Furlong Dr Apt 3, Louisville, KY 40242-7510 | 2014-05-28 |
| 1780016485 | Jason Smith | Case Manager/Care Coordinator | 1250 Kirts Blvd Ste 300, Troy, MI 48084-4855 | 2013-08-05 |
| Street Address |
3995 MARCOLA RD |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-7948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053343558 | Mental Health for Children, Inc | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2006-07-07 |
| 1013523455 | Isabel L Moran | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-09-21 |
| 1912510686 | Ayla Alexandria Caesar | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-08-24 |
| 1447862214 | Gordon Diquattro | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-08-21 |
| 1699385351 | Teia Rae-jean Carlisle | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-08-06 |
| 1922626514 | Jason H Brooks | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-07-09 |
| 1205454279 | Cora Crabtree | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-07-07 |
| 1538786256 | Lauren Taylor Hval | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-06-29 |
| 1063039014 | Kayla Armstrong | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-06-25 |
| 1801413893 | Camille Phillips | Counselor | 3995 Marcola Rd, Springfield, OR 97477-7948 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217873 | Ifeoma E Iherobiem | Nurse Practitioner | 884 S Springfield Ave Apt 18, Springfield, NJ 07081-3320 | 2020-08-28 |
| 1477178978 | Eric Avent | Nurse Practitioner | 111 5th Ave W Ste 103, Springfield, TN 37172-2428 | 2020-06-10 |
| 1043722770 | Mary Catherine Knutson | Nurse Practitioner | 1201 S 4th St, Springfield, IL 62703-2228 | 2017-11-03 |
| 1922422617 | Azuka Ofodike | Nurse Practitioner | 31 Tooker Pl, Springfield, NJ 07081-2227 | 2014-02-14 |
| 1306117189 | Mark Anthony Lynch | Nurse Practitioner | 7108 Neuman St, Springfield, VA 22150-4419 | 2012-01-25 |
| 1609100973 | Cindy Michael | Nurse Practitioner | 841 E Northern Ave, Springfield, OH 45503-3848 | 2009-09-18 |
| 1811097058 | Jain A Lattes | Nurse Practitioner | 3300 Main St Fl 4, Springfield, MA 01107-1112 | 2006-09-25 |
| 1174540504 | Johnson Komolafe | Nurse Practitioner | 7011 Calamo St, #105, Springfield, VA 22150 | 2006-07-15 |
| 1083648604 | Dawn M Vanderhoef | Nurse Practitioner | 713 Cheatham St, Springfield, TN 37172-2828 | 2006-07-10 |
| 1316992019 | Ruben Montanez | Nurse Practitioner | 1695 Main St Fl 400, Springfield, MA 01103-1063 | 2006-05-23 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on JASON 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.