MR. JARED W SMITH (NPI# 1679502926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679502926 |
| Entity Type | Individual |
| Full Name | MR. JARED W SMITH |
| Credential | PAC |
| Practice Address |
1158 N Court St Redding CA 96001-0436 |
| Mailing Address |
647 W East Ave Chico CA 95926-7201 |
| Practice Telephone | 5303434757 |
| Practice Fax Number | 5303433347 |
| Mailing Telephone | 5303434757 |
| Mailing Fax Number | 5303433347 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2016-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA17095 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PA17095 | 05 | |
| CA | RAILROAD MEDICARE | P00126903 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033600564 | Jared Smith | Counselor | 1650 E Flamingo Rd, Las Vegas, NV 89119-5254 | 2018-05-21 |
| 1275812695 | Jared C Smith | Marriage & Family Therapist | 800 Niblick Road, Paso Robles, CA 93446 | 2011-08-16 |
| 1497959704 | Jared Russell Smith | Dentist | 1009 Parkwoods Dr, Noble, OK 73068 | 2007-06-12 |
| 1619910031 | Jared H Smith | Dentist | 13804 S 41st St, Bellevue, NE 68123-3746 | 2006-06-14 |
| 1275593683 | Jared M. Smith | Dentist | 618 Main St, Canon City, CO 81212-3737 | 2006-03-28 |
| 1669082467 | Jared Taylor Smith | Student in an Organized Health Care Education/Training Program | 3600 N Garfield St, Midland, TX 79705-6329 | 2020-08-06 |
| 1699393298 | Jared Smith | Behavior Technician | 12650 Hamilton Crossing Blvd, Carmel, IN 46032-5400 | 2020-07-09 |
| 1346865995 | Jared N Smith | Student in an Organized Health Care Education/Training Program | 2323 Memorial Ave Ste 10, Lynchburg, VA 24501-2652 | 2020-06-10 |
| 1578120838 | Jared Christopher Smith | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7697 | 2019-05-22 |
| 1528624715 | Jared Smith | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2019-05-14 |
| Street Address |
1158 N COURT ST |
| City | REDDING |
| State | CA |
| Zip Code | 96001-0436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821084443 | Byron James Van Dyke | Dermatology | 1158 N Court St, Redding, CA 96001-0436 | 2005-09-20 |
| 1851461248 | Michael Anthony Gasman | Anesthesiology | 1158 N Court St, Redding, CA 96001-0436 | 2006-11-09 |
| 1700971769 | Lily Elizabeth Jamm | Internal Medicine | 1158 N Court St, Redding, CA 96001-0436 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| 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 |
|---|---|---|---|---|
| 1073123915 | Kendra Owen | Physician Assistant | 1555 East St Ste 100, Redding, CA 96001-1153 | 2020-08-05 |
| 1316578818 | Kaylin Rae Sanders | Physician Assistant | 375 Smile Pl Ste B, Redding, CA 96001-3653 | 2020-02-03 |
| 1922550292 | Nicole Combs | Physician Assistant | 2216 Buenaventura Blvd Ste B, Redding, CA 96001-3838 | 2016-11-02 |
| 1326482068 | Terry Lee Pelayo | Physician Assistant | 2022 Jewell Ln, Redding, CA 96001-4823 | 2013-04-24 |
| 1578842100 | Lacey Monique Townsend | Physician Assistant | 2891 Churn Creek Rd Ste A, Redding, CA 96002-1148 | 2011-08-13 |
| 1699061986 | Larisa Gumerova | Physician Assistant | 1742 Oregon St, Redding, CA 96001 | 2011-06-24 |
| 1396994430 | Robyn Lynn Carpenter | Physician Assistant | 2750 Eureka Way Ste 101, Redding, CA 96001-0251 | 2008-09-12 |
| 1528144912 | Kathleen B. Chesney | Physician Assistant | 1388 Court Street, Suite H, Redding, CA 96001-1650 | 2006-10-27 |
| 1073122412 | Christopher Wills | Physician Assistant | 100 E Cypress Ave, Redding, CA 96002-0162 | 2020-07-30 |
| 1689298598 | Kellie Sperduto | Physician Assistant | 1742 Oregon St, Redding, CA 96001-1717 | 2020-06-05 |
| Find all providers in REDDING | ||||
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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.