MR. JOHNNY LEE SMITH (NPI# 1629310560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629310560 |
| Entity Type | Individual |
| Full Name | MR. JOHNNY LEE SMITH |
| Credential | RRT |
| Practice Address |
1500 E Woodrow Wilson Ave Jackson MS 39216-5116 |
| Practice Telephone | 6013624471 |
| Practice Fax Number | 6013641222 |
| Mailing Telephone | 6013624471 |
| Mailing Fax Number | 6013641222 |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 227900000X | Respiratory Therapist, Registered | RCP1286 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2279C0205X |
Respiratory Therapist, Registered Specialization: Critical Care |
RCP1286 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104971373 | Johnny Lee Smith | Nurse Practitioner | 502 West Court, Jasper, AR 72641 | 2007-01-25 |
| 1457456865 | Johnny C Smith | Dentist | 740 N Texas, Deleon, TX 76444 | 2006-09-13 |
| 1831153451 | Johnny Sheldon Smith | Dentist | 7066 Highway 64, Oakland, TN 38060-4042 | 2006-04-12 |
| 1629075130 | Johnny Lee Smith | Dentist | 9276 W Union Hills Dr, Ste. A, Peoria, AZ 85382-8158 | 2005-06-30 |
| 1114222809 | Johnny R Smith | Registered Nurse | 2301 S Eight Tribes Trl, Miami, OK 74354-1009 | 2011-01-11 |
| 1477688133 | Johnny Lee Smith | Counselor | 1301 California Ave, Bakersfield, CA 93304-1190 | 2007-02-22 |
| 1508935321 | Johnny L Smith | Physical Therapist | 23077 Greenfield Rd, Ste 250, Southfield, MI 48075-3709 | 2006-11-07 |
| 1841202892 | Johnny Y Smith | Family Medicine | 7037 St Andrews Road, Columbia, SC 29212 | 2006-08-11 |
| 1043239817 | Johnny Dwayne Smith | Family Medicine | 11 N Locust St, Buckhannon, WV 26201-2231 | 2006-07-19 |
| Street Address |
1500 E WOODROW WILSON AVE |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-5116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740264035 | Sadeka Tamanna | Internal Medicine | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2005-12-01 |
| 1881291383 | Regina Marie Riley | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-10-07 |
| 1811502024 | Wendy Hopkins | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-09-14 |
| 1528679420 | Christopher Michael Mcguffey | Physical Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-08-13 |
| 1124637319 | Kathryn Martin Lewis | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-24 |
| 1932727468 | Davis Mckenna Simms | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-10 |
| 1154948222 | Tiffany Floyd | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-06 |
| 1962029389 | Devonda Y Elliott | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-01 |
| 1629693759 | Latorya Lashay Smith | Dietitian, Registered | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-06-15 |
| 1932721669 | Aubrey Cain Young | Pharmacist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 227900000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Registered |
| A Registered Respiratory Therapist (RRT) is an advanced therapist who has passed standardized written and clinical simulation examinations administered by the National Board for Respiratory Care (NBRC). In addition, to the certified therapist (CRT) entry level skills, RRTs have advanced education and training in patient assessment, in the development and modification of patient care plans, and in assuring the appropriate utilization of respiratory care resources. An RRT is a graduate of an associate or baccalaureate degree producing educational programs approved by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of that license. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982047809 | Adrain Lott | Respiratory Therapist, Registered | 1923 Oakhurst Dr, Jackson, MS 39204-4922 | 2013-04-10 |
| 1174706279 | Ronald Terrell Harris | Respiratory Therapist, Registered | 1505 N West St Apt 205, Jackson, MS 39202-1559 | 2007-12-11 |
| 1205360617 | Erin Mcphail | Respiratory Therapist, Registered | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2017-04-13 |
| 1962826123 | Tonya D. Craft | Respiratory Therapist, Registered | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2014-02-08 |
| 1801234356 | Vanessa Andrea Rodriguez | Respiratory Therapist, Registered | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2013-06-06 |
| 1497193098 | Tiffany Nicole Mims | Respiratory Therapist, Registered | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2013-06-05 |
| 1174960264 | Edshundra Taliaferro | Respiratory Therapist, Registered | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2013-05-29 |
| 1912341215 | Kenny Knott | Respiratory Therapist, Registered | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2013-04-18 |
| 1245673615 | Regina Spencer Beckham | Respiratory Therapist, Registered | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2013-04-16 |
| 1639512379 | Phyllis S Ollie | Respiratory Therapist, Registered | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2013-04-11 |
| Find all providers in JACKSON | ||||
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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.