Kristin Lee Golley-Smith, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

694077-1 Issued in NY

Practice address

201 Hanson Rd
Mexico, NY 13114-4252

Phone

(315) 887-0201

NPI assigned

Jan 19, 2015

Last updated

Jan 19, 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1164811899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HANSON RD",
            "city": "MEXICO",
            "state": "NY",
            "postal_code": "131144252",
            "telephone_number": "315-997-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HANSON RD",
            "city": "MEXICO",
            "state": "NY",
            "postal_code": "131144252",
            "telephone_number": "315-887-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLEY-SMITH",
        "first_name": "KRISTIN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "694077-1",
            "primary": false
        },
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "NY",
            "license": "694077-1",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "694077-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Farrell
• Jayme Lynn French, RN
• Karen Friot, R.N.
• Meghan Gaynor
• Lauren Gilbert, OT
• Kristen Greenway
• Thomas Andrew Hanna, M.D.
• Helena J. Harbert
• Robin M Hardy, SLP
• Mary Claire Hartford

• Pediatric Registered Nurse in Mexico, NY
• Providers in Mexico, NY by specialty
• Pediatric Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.