Kristen Smith

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

882509 Issued in MS

Practice address

122 E Baker St
Indianola, MS 38751-2451

Phone

(662) 887-2212

Fax

(662) 887-1279

NPI assigned

Jun 27, 2017

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

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristensmith@ifmg.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Sunflower County Hospital

  • General Acute Care Hospital
  • Indianola, MS
  • NPI 1184679292
  Medicare reassignment NPD
• South Sunflower County Hospital

  • Rural Health Clinic/Center
  • Indianola, MS
  • NPI 1245248699
  NPD
• South Sunflower County Hospital

  • Advanced Practice Midwife
  • Indianola, MS
  • NPI 1962395863
  NPD

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1154842409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E BAKER ST",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512451",
            "telephone_number": "662-887-2212",
            "fax_number": "662-887-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E BAKER ST",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512451",
            "telephone_number": "662-887-2212",
            "fax_number": "662-887-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "882509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Scott
• Serenity Personal Care Home and
• Emilly Shephard
• Shirley'S Assisted Living
• Lee Taylor Skelton, DNP, CRNA
• SNJ Transportation, LLC
• Robyn Soignier
• South Sunflower County Hospital
• South Sunflower County Hospital
• South Sunflower County Hospital

• Family Nurse Practitioner in Indianola, MS
• Providers in Indianola, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.