Active NPI
Linda McKennon Smith, RNC, MS, NP
- Women's Health Nurse Practitioner
- Fayetteville, AR
National Provider Identifier
1083836886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- A001096
- Practice address
- 3729 N Crossover Rd
Suite 107
Fayetteville, AR 72703-4582 - Phone
- (479) 443-7791
- Fax
- (479) 443-5761
- NPI assigned
- May 2, 2007
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | A001096 | AR | Primary |
Addresses
Primary practice location
3729 N Crossover Rd
Suite 107
Fayetteville, AR 72703-4582
Mailing address
1171 7TH St
Des Moines, IA 50314-2505
Phone (515) 235-0429
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Nurse Practitioner, Master of Science, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1083836886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1171 7TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142505",
"telephone_number": "515-235-0429",
"fax_number": "515-280-9525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3729 N CROSSOVER RD",
"address_2": "SUITE 107",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034582",
"telephone_number": "479-443-7791",
"fax_number": "479-443-5761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LINDA",
"middle_name": "MCKENNON",
"name_prefix": "Ms.",
"credential": "RNC, MS, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AR",
"license": "A001096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.