Individual
JACOB PAYNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
77 W FOREST AVE STE 117, FLAGSTAFF, AZ 86001-1482
(928) 773-2505
(928) 773-2504
Mailing address
77 W FOREST AVE STE 117, FLAGSTAFF, AZ 86001-1482
(928) 773-2505
(928) 773-2504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
203222
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
0940
AZ
367500000X
Certified Registered Nurse Anesthetist
100091
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274331YPVE
—
CO
Enumeration date
12/09/2011
Last updated
09/24/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us