Katina D Smith, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2019015725 Issued in MO

Practice address

450 N New Ballas Rd Ste 204
Saint Louis, MO 63141-6836

Phone

(314) 991-0137

Fax

(314) 991-0603

NPI assigned

May 18, 2019

Last updated

Dec 21, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: katina.smith.p1@direct.nephrologyhtn.nextgenshare.com

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.

• Nephrology and Hypertension Specialists, LLC

  • Nephrology Physician
  • Creve Coeur, MO
  • NPI 1770554842
  Medicare reassignment NPD
• Prevention First LLC

  • Internal Medicine Physician
  • Creve Coeur, MO
  • NPI 1639166184
  Medicare reassignment NPD
• All in One Health Hub, LLC

  • Health Service Clinic/Center
  • Saint Louis, MO
  • NPI 1326845124
  NPD Authorized official
• Nephrology and Hypertension Specialists, LLC

  • Nephrology Physician
  • Fenton, MO
  • NPI 1730127200
  NPD (past)

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

{
    "created_epoch": "1558137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1245896893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840185",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641840185",
            "telephone_number": "314-991-0137",
            "fax_number": "314-991-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N NEW BALLAS RD STE 204",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416836",
            "telephone_number": "314-991-0137",
            "fax_number": "314-991-0603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11477 Olde Cabin Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "631417137",
            "country_code": "US",
            "telephone_number": "314-432-5144",
            "fax_number": "314-432-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATINA",
        "middle_name": "D",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-18",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2019015725",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2019015725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Latimer Smith III, MD
• Jordan Maria Smith, FNP
• Judy Smith
• Katherine Smith
• Kathryn E Smith, OTR/L
• Kenneth Gerald Smith, M.D.
• Kenneth Sanders Smith Jr., M.D.
• Keyanna Smith
• Kimberly Dawn Smith
• Kristen A Smith, OD

• Adult Health Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.