JORDAN SMITH (NPI# 1982230439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982230439 |
| Entity Type | Individual |
| Full Name | JORDAN SMITH |
| Credential | LMT |
| Practice Address |
645 W Ridgeview Dr Appleton WI 54911-1254 |
| Practice Telephone | 9209979740 |
| Mailing Telephone | 9209979740 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 11470-146 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| 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 |
645 W RIDGEVIEW DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-1254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336420751 | The Chiropractic Advantage LLC | Chiropractor | 645 W Ridgeview Dr, Appleton, WI 54911-1254 | 2011-08-30 |
| 1184250557 | Megan Leigh Schaenzer | Massage Therapist | 645 W Ridgeview Dr, Appleton, WI 54911-1254 | 2020-03-18 |
| 1699180026 | Jonathan Heinz | Chiropractor | 645 W Ridgeview Dr, Appleton, WI 54911-1254 | 2014-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724608 | Tanna J Mayer | Massage Therapist | 1045 E North St, Appleton, WI 54911-5545 | 2020-03-11 |
| 1679033633 | Nancy Grace Rezmer | Massage Therapist | 1500 N Casaloma Dr Ste 412, Appleton, WI 54913-8219 | 2019-03-24 |
| 1538671144 | Jennifer Lynn Lamkins | Massage Therapist | 3215 W Lawrence St Ste B, Appleton, WI 54914-4274 | 2017-11-04 |
| 1528466018 | Amanda Newhouse | Massage Therapist | 3913 W Prospect Ave, Suite Ll1, Appleton, WI 54914-8798 | 2014-12-15 |
| 1134130164 | Health Matters Muscular Therapy Clinic, LLC | Massage Therapist | 821 E 1st Ave, Suite #4, Appleton, WI 54911-1501 | 2006-08-11 |
| 1497353643 | Lindsay Miller | Massage Therapist | 1707 S Oneida St, Appleton, WI 54915-1302 | 2020-10-10 |
| 1184250557 | Megan Leigh Schaenzer | Massage Therapist | 645 W Ridgeview Dr, Appleton, WI 54911-1254 | 2020-03-18 |
| 1568027654 | Kathryn Lee Ruppel | Massage Therapist | 842 N Westhill Blvd, Appleton, WI 54914-5788 | 2019-05-05 |
| 1780122937 | Kortney Nyman | Massage Therapist | 4000 N Providence Ave, Appleton, WI 54913-8018 | 2017-02-08 |
| 1376998153 | Kayla Kons | Massage Therapist | 3020 E College Ave, Suite H, Appleton, WI 54915-3279 | 2016-04-28 |
| Find all providers in APPLETON | ||||
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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.