Smith & Kolb Family Practice, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SMITH & KOLB FAMILY PRACTICE, PLLC

Practice address

413 Owen Dr Ste 101
Fayetteville, NC 28304-3490

Phone

(910) 740-4361

Fax

(910) 488-4856

NPI assigned

Jan 2, 2022

Organization subpart

No

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

Authorized official

Name

Buffy Jacobs

Title

Executive Office Manager

Phone

(910) 740-4361

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25646/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Equilla Rena Lewis, NP

  • Family Nurse Practitioner
  • Fayetteville, NC
  • NPI 1770206591
  NPD

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

{
    "created_epoch": "1641081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641081600000",
    "number": "1114688223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 OWEN DR STE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043490",
            "telephone_number": "910-740-4361",
            "fax_number": "910-488-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 OWEN DR STE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043490",
            "telephone_number": "910-740-4361",
            "fax_number": "910-488-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH & KOLB FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-02",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-01",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "BUFFY",
        "authorized_official_title_or_position": "EXECUTIVE OFFICE MANAGER",
        "authorized_official_telephone_number": "910-740-4361"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1437827490",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Small Talk Solutions LLC
• Tiona Small
• Stacey C Smart, M.S., OTR/L
• Jade Smelser
• Ramona M Smerz, LCSW
• Sara Irene Smith Wells, M.A.
• Kimberly Smith-McLaughlin, MSW, LCSWA
• Merideth Smith-Wiles, DDS
• Alexander John Scott Smith, DDS
• Alexis Smith

• Family Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.