Physician Compare National (NPI:1356302624)

HEALTHCARE PROVIDER: JACQUELINE M SMITHERS CNM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1356302624
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365500147
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081023000050
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SMITHERS
	Individual professional last name
Provider First Name	JACQUELINE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	CERTIFIED NURSE MIDWIFE (CNM)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	7084 S 2300 E
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110
	Group Practice or individual's line 2 address
City	COTTONWOOD HEIGHTS
	Group Practice or individual's city
State	UT
	Group Practice or individual's state
Zip Code	841213975
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y