Active NPI
Kristin Ann Smith, APN
- Advanced Practice Midwife
- Federal Way, WA
National Provider Identifier
1174718233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP60616129
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VAD000 | Other | KY | UPI |
| 2056840 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200350023NP | OR | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| St Francis Community Hospital | Past | Accepting new patients | |
| Michael B Smith MD | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Obstetrics & Gynecology Physician
- Federal Way, WA
- NPI 1538488507
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1093713091
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.