MRS. JENNIFER KELLER SMITH (NPI# 1770705899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770705899 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER KELLER SMITH |
| Other Name | MISS JENNIFER SUSAN KELLER |
| Credential | RD |
| Practice Address |
1600 Albany St Beech Grove IN 46107-1541 |
| Mailing Address |
7164 Bracken Ln Indianapolis IN 46239-7838 |
| Practice Telephone | 3178513841 |
| Practice Fax Number | 3178655083 |
| Mailing Telephone | 3178513841 |
| Mailing Fax Number | 3178655083 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
37001254A | IN | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497362164 | Jennifer K Smith | Homemaker | 6405 Zachary Dr, Sandusky, OH 44870-8617 | 2020-09-28 |
| 1164038634 | Jennifer Lynn Smith | Technician | 2445 Packs Branch Rd, Mount Hope, WV 25880-6523 | 2020-09-21 |
| 1982215638 | Jennifer D Smith | Technician | 355 Valley View Ave, Keyser, WV 26726-2631 | 2020-08-14 |
| 1760093868 | Jennifer Smith | Social Worker | 8927 Curbaril Ave, Atascadero, CA 93422-5252 | 2020-08-12 |
| 1750905154 | Jennifer Dawn Smith | Registered Nurse | 624 W 1825 N, Centerville, UT 84014-3146 | 2020-06-01 |
| 1497378962 | Jennifer Morgan Smith | Speech-Language Pathologist | 110 Jeremy Ct, Easton, PA 18045-2162 | 2020-05-19 |
| 1811518566 | Jennifer C Smith | Counselor | 111 Red Fawn Rd, Brewster, MA 02631-2058 | 2020-05-05 |
| 1477182400 | Jennifer Eileen Smith | Dietitian, Registered | 7439 Chummley Ct, Falls Church, VA 22043-2938 | 2020-04-02 |
| 1134754526 | Jennifer Weston Smith | Massage Therapist | 1829 Ne 58th St, Seattle, WA 98105-2440 | 2020-03-06 |
| 1588294938 | Jennifer Lynn Smith | Doula | 7291 Enders Ave, San Diego, CA 92122-2808 | 2020-01-23 |
| Street Address |
1600 ALBANY ST |
| City | BEECH GROVE |
| State | IN |
| Zip Code | 46107-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699733824 | Mary Kathaleen Steinke | Nurse Practitioner | 1600 Albany St, South Entrance Ground Floor, Beech Grove, IN 46107-1541 | 2006-05-04 |
| 1497028112 | Abigail Nicole Emerick | Dietitian, Registered | 1600 Albany St, Beech Grove, IN 46107-1541 | 2012-02-10 |
| 1639441462 | Lauren Kathleen Liechty | Dietitian, Registered | 1600 Albany St, Beech Grove, IN 46107-1541 | 2012-02-09 |
| 1063700847 | Franci Taylor Gesell | Physician Assistant | 1600 Albany St, Beech Grove, IN 46107-1541 | 2011-07-14 |
| 1083908966 | Franciscan St. Francis Health | General Acute Care Hospital | 1600 Albany St, Beech Grove, IN 46107-1541 | 2011-06-08 |
| 1396058608 | Jack E Bonham | Physician Assistant | 1600 Albany St, Beech Grove, IN 46107-1541 | 2010-07-16 |
| 1184887994 | Gretchen Kathleen Fisher | Dietitian, Registered | 1600 Albany St, Beech Grove, IN 46107-1541 | 2008-07-02 |
| 1245406214 | St. Francis Hospital and Health Centers | Psychiatry & Neurology | 1600 Albany St, Beech Grove, IN 46107-1541 | 2008-04-30 |
| 1366624728 | Jeri Dine | Nurse Practitioner | 1600 Albany St, South Entrance Ground Floor, Beech Grove, IN 46107-1541 | 2007-11-28 |
| 1225224777 | Amanda Lee Kendall | Dietitian, Registered | 1600 Albany St, Beech Grove, IN 46107-1541 | 2007-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669757464 | Lisa Katherine Mabie | Pharmacist | 1808 N Albany St, Beech Grove, IN 46107 | 2011-10-13 |
| 1275797847 | Kay Lynn Kolthoff | Registered Nurse | 1600 Albany Street, Beech Grove, IN 46107 | 2008-07-14 |
| 1699802439 | James Michael Souers | Dentist | 4140 S Emerson Ave, Beech Grove, IN 46107 | 2007-02-28 |
| 1871605055 | St Paul Hermitage Home | Nursing Facility/Intermediate Care Facility | 501 N 17th Avenue, Beech Grove, IN 46107 | 2006-08-31 |
| 1013931989 | David E. Crook | Anesthesiology | 1600 N. Albany St, Indianapolis, IN 46107 | 2006-07-26 |
| 1063409456 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2002 Albany St, Beech Grove, IN 46107 | 2005-09-30 |
| 1629075429 | Victoria Ann Othersen | Family Medicine | 2030 Churchman Ave # A, Beech Grove, IN 46107 | 2005-07-07 |
| 1215548144 | Grace Connelly | Speech-Language Pathologist | 501 N 17th Ave, Beech Grove, IN 46107 | 2020-08-13 |
| 1780995969 | Sharon Sue Taylor | Nurse Practitioner | 2030 Churchman Ave Ste A, Beech Grove, IN 46107-1044 | 2010-06-23 |
| 1124012729 | Claudet C Smith | Internal Medicine | 2030 Churchman Ave, Beech Grove, IN 46107-1044 | 2005-09-09 |
| Find all providers in zip 46107 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093094575 | Elizabeth Ann Brine | Dietitian, Registered | 3237 W County Road 875 S, Reelsville, IN 46171-9477 | 2011-08-15 |
| 1598094781 | Mary Beth Becht | Dietitian, Registered | 3155 Jason St, Carmel, IN 46033-8765 | 2009-12-16 |
| 1447589080 | Lisa Suzanne Flanders | Dietitian, Registered | 14847 Strawtown Ave, Noblesville, IN 46060-6974 | 2009-12-10 |
| 1194052365 | Hazel Irene Lewis | Dietitian, Registered | 1125 Logan Ave, Lafayette, IN 47905-1829 | 2009-11-09 |
| 1255591590 | Dawn Marie Fulmer | Dietitian, Registered | 1201 Bower St, Elkhart, IN 46514-2434 | 2008-06-10 |
| 1588838833 | Judy Anne Busch | Dietitian, Registered | 10210 N Delaware St, Indianapolis, IN 46280-1348 | 2008-04-17 |
| 1184847378 | Regina S Isroff | Dietitian, Registered | 2202 Cherokee Cir, Valparaiso, IN 46383-2284 | 2007-04-10 |
| 1962523597 | Sheri Lynn Glaze | Dietitian, Registered | 1644 Rudgate Dr, Avon, IN 46123-8408 | 2007-04-02 |
| 1134738677 | Jenna Pogorzelski | Dietitian, Registered | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-30 |
| 1083240626 | Abigail Nicole Demlow | Dietitian, Registered | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
| City | BEECH GROVE |
| Zip Code | 46107 |
Please comment or provide details below to improve the information on MRS. JENNIFER KELLER 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.