Krystal Smith, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1152 Issued in NC

Practice address

1000 Spring Garden St.
136 HHP Building, Uncg Athletics
Greensboro, NC 27402-6168

Phone

(336) 334-5925

Fax

(334) 256-0407

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104994425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 PERSIMMON CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108620",
            "telephone_number": "714-393-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SPRING GARDEN ST.",
            "address_2": "136 HHP BUILDING, UNCG ATHLETICS",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274026168",
            "telephone_number": "336-334-5925",
            "fax_number": "334-256-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRYSTAL",
        "name_prefix": "Miss",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "1152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keisha Chermise Smith, O.D.
• Kelsey Smith, DO
• Kentia Chante Smith, MSW,CSW,LCSWA
• Keyarra Tahje Smith, MSW, LCSW-A
• Kimberly Smith
• L'Chyna Smith
• Lalah Smith
• Laura Constance Smith, RD
• Laura Easterwood Smith, N.P.
• Leshani Smith

• Athletic Trainer in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.