Active NPI
Katherine Mary Smid, ARNP
- Nurse Practitioner
- Boone, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5004597
- Practice address
- 336 Deerfield Rd
Boone, NC 28607-5008 - Phone
- (828) 262-4100
- Fax
- (828) 262-4103
- NPI assigned
- May 14, 2007
- Last updated
- Nov 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5004597 | NC | Primary |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 1698942 | FL |
Addresses
Primary practice location
336 Deerfield Rd
Boone, NC 28607-5008
Mailing address
336 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 262-4100
Other practice location 1
175 Mary St
Boone, NC 28607-5025
Phone (828) 264-9664
Other names 1
- Katherine Mary Smid
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Watauga Medical Center Inc
Practice addresses (Care Compare)
310 Pensacola Rd
Burnsville, NC 28714-3318
Phone (828) 682-9759
336 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 262-4133
434 Hospital Dr
Linville, NC 28646-0787
Phone (828) 737-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5004597 | NC | MD | Nurse Practitioner |
| 1698942 | FL | MD | Critical Care Medicine Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watauga Medical Center Inc | Current | Accepting new patients | |
| Pai Participant 29, P.C. | Current | Accepting new patients | |
| Watauga Medical Center Inc | Current | Accepting new patients | |
| Watauga Medical Center Inc | Current | Accepting new patients | |
| Charles a. Cannon, Jr. Memorial Hospital, Inc | Current | Accepting new patients | |
| Charles a Cannon Jr Memorial Hospital Inc | Current | Accepting new patients | |
| Charles a. Cannon, Jr. Memorial Hospital, Inc. | Current | Accepting new patients | |
| Watauga Medical Center, Inc. | Current | Accepting new patients | |
| Timothy Turbett MD PC | Nurse Practitioner | Current | Accepting new patients |
| Charles a. Cannon, Jr. Memorial Hospital, Inc. | Current | Accepting new patients | |
| Charles a Cannon Jr Memorial Hospital Inc. | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Watauga Medical Center Inc | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients |
Locations
155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111
211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720
336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
338 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
310 Pensacola Rd
Burnsville, NC 28714
Phone (828) 682-0200
1287 Newsome St
Mount Airy, NC 27030
Phone (336) 786-2133
Interoperability endpoints
- ksmid290034@direct.unc.nchie.net
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cannon Inpatient Physician Group
- Hospitalist Physician
- Linville, NC
- NPI 1821403957
-
dba Watauga Medical Center
- General Acute Care Hospital
- Boone, NC
- NPI 1205859766
-
dba Watauga Medical Center
- Hospitalist Physician
- Boone, NC
- NPI 1528134194
-
dba Cannon Inpatient Behavioral Health
- Psychiatric Hospital Unit
- Linville, NC
- NPI 1407006968
-
- Certified Registered Nurse Anesthetist
- Linville, NC
- NPI 1346302783
-
- Cardiovascular Disease Physician
- Linville, NC
- NPI 1477006385
-
- Geriatric Medicine (Internal Medicine) Physician
- Lexington, NC
- NPI 1245813757
-
dba Watauga Medical Center ekg int
- Cardiovascular Disease Physician
- Boone, NC
- NPI 1336215821
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba The Sanger Clinic
- Cardiovascular Disease Physician
- Boone, NC
- NPI 1891019717
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cannon Inpatient Behavioral Health
- Psychiatric Hospital Unit
- Linville, NC
- NPI 1407006968
-
dba Appalachian Regional Healthcare System
- Critical Access Hospital
- Linville, NC
- NPI 1225088255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1154536001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 DEERFIELD RD",
"city": "BOONE",
"state": "NC",
"postal_code": "286075008",
"telephone_number": "828-262-4100",
"fax_number": "828-262-4103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 DEERFIELD RD",
"city": "BOONE",
"state": "NC",
"postal_code": "286075008",
"telephone_number": "828-262-4100",
"fax_number": "828-262-4103"
}
],
"practiceLocations": [
{
"address_1": "175 Mary St",
"address_purpose": "LOCATION",
"city": "Boone",
"state": "NC",
"postal_code": "286075025",
"country_code": "US",
"telephone_number": "828-264-9664",
"fax_number": "828-264-8144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMID",
"first_name": "KATHERINE",
"middle_name": "MARY",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5004597",
"primary": true
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "FL",
"license": "1698942",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "SMID",
"middle_name": "MARY",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boone, NC
- Holli E Sink, PHD
- Sisters of Mercy Urgent Care Inc (Mercy Urgent Care)
- Mary Ruth Sizer, MA, CCCA, FAAA
- Jennifer Vinez Slagle, PA-C
- James Wallace Slauson Jr., MD
- Allan Royal Smith III, M.D.
- Allyson Razzeto Smith, MS, CCC-SLP
- Amanda Elizabeth Smith, LCSW-A
- Dillon Edward Smith, MS, SCAT, ATC, PES
- Jerica Suzanne Smith, F.N.P-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.