Individual provider Active NPI

Kristene Smith

  • Psychiatric/Mental Health Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1003521238
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R177846 Issued in MD
Practice address
800 S Frederick Ave Ste 200a
Gaithersburg, MD 20877-4116
Phone
(877) 588-0282
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R177846 MD Primary

Addresses

Primary practice location

800 S Frederick Ave Ste 200a
Gaithersburg, MD 20877-4116

Mailing address

100 Lavenport Cir
Frederick, MD 21702-5100
Phone (240) 418-3111

Other practice location 1

100 Lavenport Cir
Frederick, MD 21702-5100
Phone (240) 418-3111

Other practice location 2

839 Quince Orchard Blvd Ste G
Gaithersburg, MD 20878-1614
Phone (240) 418-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230505000188 DC Practitioner - Nurse Practitioner 4880059328 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Approach Mental Health Psychiatric/Mental Health Current Accepting new patients
Right Solutions Mental Health LLC Psychiatric/Mental Health CurrentSince Jan 20, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

800 S Frederick Ave
Ste 202
Gaithersburg, MD 20877
Phone (571) 463-8620

800 S Frederick Ave
Ste 200A
Gaithersburg, MD 20877
Phone (877) 588-0282

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1003521238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAVENPORT CIR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217025100",
            "telephone_number": "240-418-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S FREDERICK AVE STE 200A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774116",
            "telephone_number": "877-588-0282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Lavenport Cir",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217025100",
            "country_code": "US",
            "telephone_number": "240-418-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "839 Quince Orchard Blvd Ste G",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208781614",
            "country_code": "US",
            "telephone_number": "240-418-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R177846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.