Individual provider Active NPI

Kristin Ann Smith, APN

  • Advanced Practice Midwife
  • Federal Way, WA
National Provider Identifier
1174718233
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP60616129 Issued in WA
Practice address
700 S 320TH St Ste B
Federal Way, WA 98003-4691
Phone
(253) 838-1520
Fax
(360) 782-3540
NPI assigned
Sep 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 200350023NP OR
Advanced Practice Midwife 367A00000X AP60616129 WA Primary

Addresses

Primary practice location

700 S 320TH St Ste B
Federal Way, WA 98003-4691

Mailing address

700 S 320TH St Ste B
Federal Way, WA 98003-4691
Phone (253) 838-1520

Other identifiers 2

IdentifierTypeStateIssuer
VAD000OtherKYUPI
2056840MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksmith176060@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
200350023NPORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
St Francis Community Hospital Past Accepting new patients
Michael B Smith MD PastSince Apr 18, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ksmith176060@fhsce.catholichealth.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1174718233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S 320TH ST STE B",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034691",
            "telephone_number": "253-838-1520",
            "fax_number": "360-782-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S 320TH ST STE B",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034691",
            "telephone_number": "253-838-1520",
            "fax_number": "360-782-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTIN",
        "middle_name": "ANN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "200350023NP",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP60616129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPI",
            "identifier": "VAD000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2056840",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksmith176060@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "700 S 320th St Ste B",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980034691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.