Kathleen Anne Smothers, RN,MSN,APN-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

900271 Issued in NC

Practice address

59 Gypsy Mountain Rd.
Marion, NC 28752-4527

Phone

(828) 652-8196

Fax

(828) 652-8186

NPI assigned

Apr 10, 2007

Last updated

Mar 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: marionwellness@mwadmp-nc.direct.office.nextgen.com

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1164645024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 GYPSY MOUNTAIN RD",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287529715",
            "telephone_number": "828-652-8196",
            "fax_number": "828-652-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 GYPSY MOUNTAIN RD.",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524527",
            "telephone_number": "828-652-8196",
            "fax_number": "828-652-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOTHERS",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "credential": "RN,MSN,APN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "900271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenny Simpkins, MD
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• Jennifer Nicole Smith, PA-C
• Kimberly S Smith, LPC
• Southmountain Children and Family Services
• Southmountain Children and Family Services (McDowell Child Advocacy Center)
• Southmountain Children and Family Services
• Spirit of Truth Christian Counseling PLLC
• Chyenne Skylar Spurling

• Adult Health Nurse Practitioner in Marion, NC
• Providers in Marion, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.