Individual provider Active NPI

Katherine Mary Smid, ARNP

  • Nurse Practitioner
  • Boone, NC
National Provider Identifier
1154536001
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5004597 Issued in NC
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100213000046 NC Practitioner - Nurse Practitioner 0042357808 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Timothy Turbett MD PCGroup PAC ID 9335534684, 12 clinicians
Watauga Medical Center IncGroup PAC ID 2668377474, shared by 7 NPIs, 95 clinicians

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

LicenseStateTypeSpecialty
5004597NCMDNurse Practitioner
1698942FLMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Watauga Medical Center Inc CurrentSince Jan 1, 2012 Accepting new patients
Pai Participant 29, P.C. CurrentSince Aug 10, 2025 Accepting new patients
Watauga Medical Center Inc CurrentSince Jan 1, 2012 Accepting new patients
Watauga Medical Center Inc CurrentSince Nov 5, 2019 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc Current Accepting new patients
Charles a Cannon Jr Memorial Hospital Inc CurrentSince Jan 4, 2020 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 CurrentSince Dec 1, 2024 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc. CurrentSince Jan 4, 2020 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

  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.