DR. JESSICA KATHLEEN SMITH (NPI# 1811485105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811485105 |
| Entity Type | Individual |
| Full Name | DR. JESSICA KATHLEEN SMITH |
| Credential | DMD |
| Practice Address |
Raf Lakenheath 48 Mdg/sghc Unit 5115 Apo AE 09461-5115 |
| Practice Telephone | 1638528118 |
| Mailing Telephone | 1638528118 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2501 Capehart Rd, Offutt Afb, NE 681131043 | 4022322273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454705 | Jessica Elaine Smith | Technician | 1255 Mckinney Cave Rd, Reedsville, WV 26547-7211 | 2020-10-09 |
| 1639781412 | Jessica Marie Smith | Physical Therapist | 10 Village West Dr Ste A, Senoia, GA 30276-3549 | 2020-08-21 |
| 1063037695 | Jessica Hanne Smith | Doula | 1580 Nw 17th St, Corvallis, OR 97330-2532 | 2020-06-09 |
| 1124642442 | Jessica Annmarie Smith | Technician, Cardiology | 6612 Anthony Ave, Garden Grove, CA 92845-2208 | 2020-06-02 |
| 1700410263 | Jessica Smith | Technician | 4112 Sugar Maple Ln, Little Rock, AR 72223-2161 | 2020-02-24 |
| 1033755442 | Jessica Smith | Registered Nurse | 8416 Avon St, Jamaica, NY 11432-2302 | 2019-11-20 |
| 1366088981 | Jessica Ann Smith | Registered Nurse | 26716 Kingswood Dr, Olmsted Twp, OH 44138-2135 | 2019-11-19 |
| 1891340584 | Jessica Lynn Smith | Nurse Practitioner | 3009 Sw Moore St, Blue Springs, MO 64015-3309 | 2019-08-08 |
| 1881248995 | Jessica Marie Smith | Genetic Counselor, MS | 1301 Palm Ave Ste 7a004, Jacksonville, FL 32207-8432 | 2019-07-26 |
| 1053965459 | Jessica Lynn Smith | Homemaker | 257 Sw Vann Ct, Lake City, FL 32024-3893 | 2019-07-25 |
| Street Address |
RAF LAKENHEATH 48 MDG/SGHC UNIT 5115 |
| City | APO |
| State | AE |
| Zip Code | 09461-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649266420 | Jessica M. Melchior | Occupational Therapist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2005-09-27 |
| 1255964441 | Jessica Renee Aurelius | Physical Therapist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2020-02-17 |
| 1679064547 | Victor Sun | Dentist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2018-05-25 |
| 1831691088 | Alexandra Marie Lacey | Dietitian, Registered | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2018-03-05 |
| 1538684808 | Muhammad Ali | Physical Therapist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461 | 2017-08-08 |
| 1043733496 | Colin Gartner | Dentist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2017-07-18 |
| 1285168740 | Daniel William Feather Stern | General Practice | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2017-04-11 |
| 1942754551 | Katelyn Zeringue | Pharmacist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2016-08-11 |
| 1275984965 | Matthew Kirk Smith | Family Medicine | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2016-06-24 |
| 1811346653 | Maggie Louise Miller | Advanced Practice Midwife | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461 | 2016-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205387081 | Joshua Gratz | Military Health Care Provider | 48mdh/sghc Unit 5115, Apo, AE 09461 | 2016-10-17 |
| 1912394776 | Thomas Mark Bertagnoli | Pediatrics | Raf Lakenheath 48mdg, Unit 5115, Apo, AE 09461 | 2015-04-20 |
| 1376710780 | Katherine Jane Waggner | Pharmacist | Raf Lakenheath - Pharmacy, Apo, AE 09461 | 2008-05-14 |
| 1356539985 | Erin Campbell Bott | Physical Therapist | 48 Mdg Unit5210, Box 230, Apo, AE 09461 | 2007-10-09 |
| 1831249614 | Shannon Stewart Enold | Social Worker | 48 Mdg Sgohf, Unit 5210 Box 230, Apo, AE 09461 | 2007-01-12 |
| 1073674008 | Elizabeth Fort Copeland | Social Worker | Raf Lakenheath 48mdg/sghc, Unit 5115, Apo, AE 09461 | 2006-12-13 |
| 1104995109 | Robert Brown Woolley | Internal Medicine | Raf Lakenheath 48 Mdg/sghc Unit 5115, Apo, AE 09461 | 2006-11-06 |
| 1679592299 | Katheryn Willingham Ellis | Registered Nurse | 48 Mdg Sgobp, Unit 5210 Box 230, Apo, AE 09461 | 2006-07-18 |
| 1306885215 | Przemyslaw Konrad Niemczura | Dietitian, Registered | 48 Medical Group, Unit 5210, Apo, AE 09461 | 2006-06-06 |
| 1760450746 | Kathleen King Dobbs | Nurse Practitioner | 48 Mdg Unit 5210, Box 230, Apo, AE 09461 | 2006-03-08 |
| Find all providers in zip 09461 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657382 | Logan Michael Dilik | Student in an Organized Health Care Education/Training Program | 88th Dental Squadron, 4881 Sugar Maple Drive, Apo, AA 45433-5529 | 2020-04-08 |
| 1417519349 | Peter Hwang | Student in an Organized Health Care Education/Training Program | 618th Dental Co, Carius Dental Clinic, Bldg# P3020 Attn: Credentials Office, Apo, AP 96271-5245 | 2019-07-01 |
| 1770143711 | Michelle Alexandra Engel | Student in an Organized Health Care Education/Training Program | Twentynine Palms Marine Base, 1591, Apo, AA 92278 | 2019-06-20 |
| 1124687108 | Dana Martin Poloni | Student in an Organized Health Care Education/Training Program | General Surgery, Dwight D Eisenhower Army Medical Cent, 300 East Hospital Road, Apo, AA 30905-5650 | 2019-06-12 |
| 1649836123 | Benjamin Truong | Student in an Organized Health Care Education/Training Program | Scott Air Force Base, 307 West Losey Street Building #1535, Apo, AA 62225 | 2019-05-10 |
| 1558925669 | Brian Ng | Student in an Organized Health Care Education/Training Program | South Drive, Scott Afb, Illinois, Apo, AA 62225 | 2019-04-24 |
| 1417440306 | Colt Sicher | Student in an Organized Health Care Education/Training Program | 96th Dental Squadron (afmc), Eglin Afb, Fl 32542, Apo, AA 32542 | 2018-06-14 |
| 1649773854 | Monica Rani O'mahony | Student in an Organized Health Care Education/Training Program | 3d Maint Bn, Unit 38422, Apo, AP 96380 | 2018-03-14 |
| 1164958617 | David Miller | Student in an Organized Health Care Education/Training Program | Psc 41 Box 3787, Apo, AE 09464-3787 | 2017-05-03 |
| 1952836678 | David J Ahn | Student in an Organized Health Care Education/Training Program | Unit 15190 Box Pyongtaek, Apo, AP 96271 | 2017-05-01 |
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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.