JEREMY LEE SMITH (NPI# 1801270749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801270749 |
| Entity Type | Individual |
| Full Name | JEREMY LEE SMITH |
| Credential | APRN, NP-C |
| Practice Address |
4619 Kanawha Ave Sw South Charleston WV 25309-1319 |
| Practice Telephone | 3044004545 |
| Mailing Telephone | 3044004545 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN81644-NP-C | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376990622 | Jeremy Smith | Pharmacist | 21 Hampton Ct, Lancaster, NY 14086-9422 | 2016-05-17 |
| 1023478468 | Jeremy Smith | Physician Assistant | 3310 Runnels St, Fort Worth, TX 76106-6421 | 2016-02-27 |
| 1326381146 | Jeremy Smith | Counselor | 3201 Pioneers Blvd Ste 222, Lincoln, NE 68502-5963 | 2013-03-29 |
| 1609154244 | Jeremy Smith | Physical Therapist | 704 S Northwest Hwy, Barrington, IL 60010-4620 | 2011-08-01 |
| 1992004451 | Jeremy Clinton Smith | Dietitian, Registered | 304 Blaine Ave, Cloquet, MN 55720-1202 | 2011-03-23 |
| 1568784106 | Jeremy David Smith | Pharmacist | 1266 Nw Broad St, Murfreesboro, TN 37129-1713 | 2010-02-24 |
| 1184830812 | Jeremy Smith | Physical Therapist | 1920 Football Dr, Lake Forest, IL 60045-4829 | 2007-05-16 |
| 1154463255 | Jeremy Vanloring Smith | Optometrist | 202 W Pleasant St, Cynthiana, KY 41031-1434 | 2007-02-13 |
| 1891844312 | Jeremy James Smith | Dentist | 4310 Medical Parkway, Suite 203, Austin, TX 78756 | 2007-01-10 |
| 1033204821 | Jeremy Robert Smith | Dentist | 4355 Suwanee Dam Rd, Suwanee, GA 30024-6707 | 2006-10-04 |
| Street Address |
4619 KANAWHA AVE SW |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841218872 | Tamejiro Takubo Jr. | Internal Medicine | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2006-07-17 |
| 1962028738 | Heath Collin Barnette | Nurse Practitioner | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2020-06-17 |
| 1114573417 | Kelsey Strickland | Nurse Practitioner | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2019-08-13 |
| 1538712138 | Yezenia Soto | Nurse Practitioner | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2019-07-23 |
| 1477114221 | Caitlin Johnson | Nurse Practitioner | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2019-06-24 |
| 1568958619 | Joshua Chase Anderson | Nurse Practitioner | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2018-07-02 |
| 1083056345 | Jamie Spencer | Nurse Practitioner | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2013-07-26 |
| 1679893036 | James D. Perry | Internal Medicine | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2010-06-09 |
| 1992945745 | Frederick Paul Clayton | Internal Medicine | 4619 Kanawha Ave Sw, South Charleston, WV 25309 | 2009-03-05 |
| 1629262944 | Phillip Cox | Internal Medicine | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2007-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1417206988 | Chera Irene Brumfield | Nurse Practitioner | 2930 Macon St, South Charleston, WV 25303-1626 | 2012-08-30 |
| 1982687992 | Janet S. Bennett | Nurse Practitioner | 434 Division Street, South Charleston, WV 25309-1433 | 2005-11-23 |
| 1336751130 | Mary Beth Moore Miller | Nurse Practitioner | 332 6th Ave, South Charleston, WV 25303-1246 | 2020-08-21 |
| 1609494269 | Tabitha Michelle Spence | Nurse Practitioner | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2020-07-10 |
| 1962028738 | Heath Collin Barnette | Nurse Practitioner | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2020-06-17 |
| 1629690037 | Stephanie Shamma | Nurse Practitioner | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1398 | 2020-05-08 |
| 1457972747 | Freedom Medical Care, Pllc | Nurse Practitioner | 4008 Maccorkle Ave Sw, South Charleston, WV 25309-1510 | 2020-04-28 |
| 1891339586 | Tarrin Layne | Nurse Practitioner | 4610 Kanawha Ave Sw Ste 402, South Charleston, WV 25309-1367 | 2019-11-05 |
| 1114573417 | Kelsey Strickland | Nurse Practitioner | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2019-08-13 |
| Find all providers in SOUTH CHARLESTON | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
Please comment or provide details below to improve the information on JEREMY LEE 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.