MRS. JACQUELINE GAJEWSKI SMITH (NPI# 1659925337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659925337 |
Entity Type | Individual |
Full Name | MRS. JACQUELINE GAJEWSKI SMITH |
Credential | APRN |
Practice Address |
130 Se Crestwood Cir Stuart FL 34997-7438 |
Practice Telephone | 5617583524 |
Mailing Telephone | 5617583524 |
Enumeration Date | 2019-07-30 |
Last Update Date | 2020-04-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
11002728 | FL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN11002728 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811503543 | Jacqueline Maree Smith | Counselor | 8877 Frankway Dr Apt 4442, Houston, TX 77096-1909 | 2020-09-18 |
1336761816 | Jacqueline Smith | Behavior Technician | 2810 Premiere Pkwy, Duluth, GA 30097-5014 | 2020-05-07 |
1639737810 | Jacqueline Brooks Smith | Registered Nurse | 3570 Cherry Run Rd, Rimersburg, PA 16248-5628 | 2019-06-03 |
1366907941 | Jacqueline Lynette Smith | Student in an Organized Health Care Education/Training Program | 9258 Culebra Rd Ste 140, San Antonio, TX 78251-2877 | 2019-02-07 |
1902256373 | Jacqueline Smith | Speech-Language Pathologist | 1110 Chestnut St, Fremont, OH 43420-4312 | 2016-06-16 |
1225405293 | Jacqueline Deana Smith | Registered Nurse | 3187 E Hudson St, Columbus, OH 43219-1632 | 2015-08-26 |
1174999395 | Jacqueline A Smith | Home Health | 3730 Fm 1960 Rd W Ste 210, Houston, TX 77068-3508 | 2015-08-12 |
1255710851 | Jacqueline Smith | Counselor | 40 Dimock Services, Roxbury, MA 02119-0000 | 2015-05-28 |
1013353432 | Jacqueline Marie Smith | Recreation Therapist | 2616 Erwin Ave, Dupont, WA 98327-8758 | 2013-05-13 |
1578906368 | Jacqueline Michelle Smith | Occupational Therapy Assistant | 3510 E Hampton Ave, #88, Mesa, AZ 85204-6430 | 2013-04-10 |
Street Address |
130 SE CRESTWOOD CIR |
City | STUART |
State | FL |
Zip Code | 34997-7438 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
Find all providers in zip 34997 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699161562 | Deniese Williams LLC | Nurse Practitioner | 6526 S Kanner Hwy, Unit 221, Stuart, FL 34997-6396 | 2015-04-08 |
1134560352 | Alan C Eddison | Nurse Practitioner | 3044 Se Orange Tree Pl, Stuart, FL 34997-8518 | 2013-07-16 |
1104143965 | Steven John Sanderson | Nurse Practitioner | 5124 Se Graham Dr, Stuart, FL 34997-1547 | 2010-05-03 |
1427202662 | Sara Pratt | Nurse Practitioner | 1371 Se Conference Cir, Stuart, FL 34997-7639 | 2008-11-14 |
1215956107 | Carmen Luisa Escobar | Nurse Practitioner | 2440 Se Federal Hwy, Stuart, FL 34994-4500 | 2006-07-19 |
1053372045 | Elizabeth Clemow-tilley | Nurse Practitioner | 1713 Nw Federal Hwy, Stuart, FL 34994-9631 | 2006-03-29 |
1427032028 | Glory Ivelisse Guerrero | Nurse Practitioner | 1322 Nw Federal Hwy, Stuart, FL 34994-1004 | 2005-12-06 |
1962498667 | Carol A Jarzyn | Nurse Practitioner | 417 Se Balboa Ave, Stuart, FL 34994-2327 | 2005-09-27 |
1639603830 | Francesca Panko | Nurse Practitioner | 2221 Se Ocean Blvd, Suite 100, Stuart, FL 34996-3341 | 2017-04-13 |
1144776790 | Leah Elizabeth Acker | Nurse Practitioner | 2221 Se Ocean Blvd, Stuart, FL 34996 | 2016-09-01 |
Find all providers in STUART |
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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.