JORDAN C SMITH (NPI# 1962988410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962988410 |
| Entity Type | Individual |
| Full Name | JORDAN C SMITH |
| Credential | PA |
| Practice Address |
2050 Meadowview Pkwy Kingsport TN 37660-7475 |
| Practice Telephone | 4232305000 |
| Practice Fax Number | 4233906852 |
| Mailing Telephone | 4232305000 |
| Mailing Fax Number | 4233906852 |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3664 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
3664 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 271 Medical Park Blvd, Bristol, TN 376207455 | 4238444800 | 4232306905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212751 | Jordan C Smith | Pharmacist | 105 W 8th Ave # 350e, Spokane, WA 99204-2302 | 2020-07-08 |
| 1841816105 | Jordan Smith | Specialist/Technologist, Other | 7101 Bryant Irvin Rd Unit 34506, Fort Worth, TX 76162-5009 | 2020-06-23 |
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1447815816 | Jordan Nichole Smith | Student in an Organized Health Care Education/Training Program | 4061 Idewild Loop # D403, Coeur D Alene, ID 83814-7091 | 2019-05-01 |
| 1447734579 | Jordan Smith | Hearing Instrument Specialist | 843 W Summit Ave, Muskegon, MI 49441-4047 | 2018-09-25 |
| 1477055366 | Jordan A Smith | Chiropractor | 7604 Ne 5th Ave Ste 109, Vancouver, WA 98665-8200 | 2018-03-06 |
| 1235656919 | Jordan Smith | Licensed Practical Nurse | 3957 Dean Rd, Marion, NY 14505 | 2017-08-24 |
| 1407171606 | Jordan D Smith | Pharmacist | 4 Long Cove Ct, Greensboro, NC 27407-5843 | 2010-03-30 |
| 1225292139 | Jordan D Smith | Optometrist | 1205 Old Highway 127 S, Jamestown, TN 38556-5609 | 2008-07-10 |
| 1013514553 | Jordan Claire Smith | Nurse Practitioner | 2550 Flowood Dr Ste 300, Flowood, MS 39232-9306 | 2020-10-07 |
| Street Address |
2050 MEADOWVIEW PKWY |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-7475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871547794 | Pulmonary Associates of Kingsport | Clinic/Center | 2050 Meadowview Pkwy, Suite 205, Kingsport, TN 37660-7332 | 2006-05-22 |
| 1023650934 | Kelly A Cox | Nurse Practitioner | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2019-10-11 |
| 1811541303 | Alyson B Hull | Physician Assistant | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2019-08-01 |
| 1265086003 | Shannon Oliver | Nurse Practitioner | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2019-07-30 |
| 1912434820 | Kayla P Almanzor | Registered Nurse | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2017-05-23 |
| 1174064950 | Tina A. Rose | Registered Nurse | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2017-03-14 |
| 1992253140 | Melissa A. Arrowood | Nurse Practitioner | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2016-09-16 |
| 1538617139 | Marcus K Byler | Registered Nurse | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2016-09-13 |
| 1053784157 | Kristen N. Looney | Registered Nurse | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2015-11-11 |
| 1639556558 | Janna Evans Davis | Nurse Practitioner | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2015-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558527 | Sarah Katherine Falconer | Physician Assistant | 2202 N John B Dennis Hwy Ste 100, Kingsport, TN 37660-5904 | 2019-10-06 |
| 1811541303 | Alyson B Hull | Physician Assistant | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2019-08-01 |
| 1356898639 | Kelsey Bailey Hodges | Physician Assistant | 415 Broad St, Kingsport, TN 37660-4263 | 2016-09-05 |
| 1740663608 | Kevin M. Mitcham | Physician Assistant | 111 W Stone Dr, Suite 310, Kingsport, TN 37660-6027 | 2015-07-09 |
| 1730499054 | Aaron David Neeley | Physician Assistant | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2010-10-20 |
| 1568647733 | Bryant Kirk Fox | Physician Assistant | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2008-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840972 | Alexis Sierra Foster | Physician Assistant | 953 Prince Ave, Erwin, TN 37650-1445 | 2020-11-01 |
| 1972110831 | Marleen Yosef | Physician Assistant | 6 Whitsett Rd, Nashville, TN 37210-5345 | 2020-09-24 |
| 1538772744 | Kaitlyn Blair Barger | Physician Assistant | 2100 Clinch Ave Ste 120, Knoxville, TN 37916-2288 | 2020-08-26 |
| 1225653967 | Molly Ann Waggoner | Physician Assistant | 9050 Executive Park Dr Ste 100b, Knoxville, TN 37923-4616 | 2020-06-09 |
| 1134749922 | Mckenzie Jacobson | Physician Assistant | 302 Tyson Ave # B, Paris, TN 38242-4576 | 2020-04-21 |
| 1316580913 | Donald Jacob Calella | Physician Assistant | 8146 Propeller Dr, Ooltewah, TN 37363-9561 | 2019-10-26 |
| 1811458565 | Physician Associate Resources, Plc | Physician Assistant | 1559 Highland Park Drive, Lenoir City, TN 37772 | 2019-03-26 |
| 1336617059 | Micaela L Goebel | Physician Assistant | 120 Tanner Pl Bldg H, Clinton, TN 37716-6684 | 2018-11-12 |
| 1700369162 | Lauren Peyton Hunley | Physician Assistant | 6890 W Andrew Johnson Hwy, Talbott, TN 37877-8610 | 2018-09-12 |
| 1275039471 | Jessica Taylor Epting | Physician Assistant | 107 Glen Oak Blvd Ste 200, Hendersonville, TN 37075-3162 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
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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.