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Deactivated NPI 1124268289 Deactivated / Inactive NPI Female Practitioner

Jennifer Mary Smith , LPN

Licensed Practical Nurse • Miamisburg, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jennifer Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 03, 2009
NPI Deactivation Date June 18, 2026
Total Practice Duration ~17 Years of Practice (2009 – 2026)

Professional Overview & Biography Verified Profile Summary

Jennifer Smith, LPN was a registered Licensed Practical Nurse practicing in Miamisburg, OH. Throughout an active medical career spanning 17 years, Jennifer Smith provided care at the practice location at 10311 PEACOCK LN until profile deactivation on 2026-06-18.

Practice Location & Contact Primary Location

Practice Address

10311 Peacock Ln

Miamisburg, OH 453420877

Telephone 9373017687

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Miamisburg, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
33 Specialists

Practicing in Miamisburg, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH PN-129060-IV

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 18, 2026

Record deactivated on June 18, 2026

NPI Profile Active March 03, 2009

NPI status registered as active in NPPES database

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Updated Practice Location March 03, 2009

Registered at 10311 PEACOCK LN, MIAMISBURG, OH 453420877 (Tel: 9373017687)

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Updated Business Mailing Address March 03, 2009

Registered at 10311 PEACOCK LN, MIAMISBURG, OH 453420877 (Tel: 9373017687)

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Provider Name / Credentials Updated March 03, 2009

Recorded as JENNIFER SMITH, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2009

Licensed Practical Nurse (License #PN-129060-IV in OH)

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Initial NPI Registration & Enumeration March 03, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124268289
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2009
Last Update: March 03, 2009
Deactivation Date: June 18, 2026

Mailing Address

10311 Peacock Ln

Miamisburg, OH 453420877

Phone: 9373017687

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.