Krista Smith, A.R.N.P.

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

A-060898 Issued in IA

Practice address

300 W Broadway
Suite 6
Council Bluffs, IA 51503-9045

Phone

(712) 325-1990

Fax

(712) 325-0288

NPI assigned

Jan 18, 2006

Last updated

Mar 2, 2011By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• All Care Health Center

  • Community/Retail Pharmacy
  • Council Bluffs, IA
  • NPI 1124461363
  NPD (past)
• Council Bluffs Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Council Bluffs, IA
  • NPI 1982895942
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1235119132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY",
            "address_2": "SUITE 6",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039045",
            "telephone_number": "712-325-1990",
            "fax_number": "712-325-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY",
            "address_2": "SUITE 6",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039045",
            "telephone_number": "712-325-1990",
            "fax_number": "712-325-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTA",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IA",
            "license": "A-060898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0188946",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "38978",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryann Slack
• Terrence Thomas Slattery, M.D.
• Carl Dean Smith, PHARMD
• Gary Alfred Smith, D.D.S.
• Kelsi Smith
• Paul Smith
• Scott P Smith, M.D.
• Stephen C Smith, M.D.
• Mike Snook, RPH
• Jeremy Matthew Snow, CRNA

• Primary Care Nurse Practitioner in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Primary Care Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.