JACOB PAYNE SMITH CRNA NPI 1275801870

NPI Information

  • NPI: 1275801870
  • Provider Name: JACOB PAYNE SMITH, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 77 W FOREST AVE STE 117
    FLAGSTAFF, AZ
    ZIP 86001
  • Phone: (928) 773-2505

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NPI Details

Jacob Payne Smith, CRNA is a nurse anesthetist certified registered in Flagstaff, AZ with 14 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Jacob Payne Smith, CRNA NPI is 1275801870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

77 W FOREST AVE STE 117
FLAGSTAFF, AZ
ZIP 86001-482
Phone: (928) 773-2505
Fax: (928) 773-2504

The enumeration date for this NPI number is 12/9/2011 and was last updated on 9/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse203222COLORADONo
2367500000XNurse Anesthetist, Certified Registered100091COLORADONo
3367500000XNurse Anesthetist, Certified Registered0940ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1274331YPVEMEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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