Jodi Michele Smith, RN
Registered Nurse, Pediatrics in Oswego, NY. Individual provider (NPI-1).
NPI number1124776992
StatusActive
Last updated in NPPESMar 11, 2022
Details
- NPI
- 1124776992
- Entity type
- Individual (NPI-1)
- Name
- Jodi Michele Smith
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 11, 2022
- Certification date
- Mar 11, 2022
- Last updated
- Mar 11, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0200X | Registered Nurse, Pediatrics | 733845 | NY | Yes |
Other names
- Jodi Michele Kester (Former Name)
Practice location
255 E 12th StOswego, NY 13126-2807
Phone 315-532-8098
Mailing address
746 County Route 25Oswego, NY 13126-5712
Phone 315-532-8098
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