Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lavada Jean Smith, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1164691945

Lavada Jean Smith, ANP is a Nurse Practitioner in Bridgeton, Missouri. Qualified in 2005, 21 years ago. Practices with Cep America-Illinois Hospitalists, LLP, a 196-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
21
Licensed in
IL, MO
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone: (314) 317-0600
Fax: (314) 317-0606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2090200077 (IL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 150496 (MO)

Record details

NPI number1164691945
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedFebruary 26, 2008
Last updated in NPPESApril 20, 2020
Certification dateApril 20, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Cep America-Illinois Hospitalists, Llp — 196 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Bridgeton