Active NPI
Kelly Smithwick, MS, ATC
- Athletic Trainer
- Asheville, NC
National Provider Identifier
1083103683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1 University HTS
Asheville, NC 28804-3251 - Phone
- (828) 251-6937
- NPI assigned
- May 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
1 University HTS
Asheville, NC 28804-3251
Mailing address
128 Davidson Dr
Reidsville, NC 27320-8345
Phone (336) 520-1788
Other practice location 1
201 Donaghey Ave
Conway, AR 72035-5001
Phone (336) 520-1788
Other practice location 2
605 Washington St
Fayette, IA 52142
Phone (563) 425-5364
Other practice location 3
9201 University City Blvd
Charlotte, NC 28223-0001
Phone (704) 687-0872
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22 | Other | RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1083103683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 DAVIDSON DR",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273208345",
"telephone_number": "336-520-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNIVERSITY HTS",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288043251",
"telephone_number": "828-251-6937"
}
],
"practiceLocations": [
{
"address_1": "201 Donaghey Ave",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "AR",
"postal_code": "720355001",
"country_code": "US",
"telephone_number": "336-520-1788",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "605 Washington St",
"address_purpose": "LOCATION",
"city": "Fayette",
"state": "IA",
"postal_code": "52142",
"country_code": "US",
"telephone_number": "563-425-5364",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9201 University City Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282230001",
"country_code": "US",
"telephone_number": "704-687-0872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITHWICK",
"first_name": "KELLY",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-09",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS",
"identifier": "22",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.