Individual provider Active NPI

Kristen Maria Smith, APRN

  • Adult Health Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1255516373
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9186213 Issued in FL
Practice address
8251 W Broward Blvd Ste 304
Plantation, FL 33324-2703
Phone
(954) 731-1101
Fax
(954) 731-5637
NPI assigned
Jan 8, 2008
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9186213 FL Primary

Addresses

Primary practice location

8251 W Broward Blvd Ste 304
Plantation, FL 33324-2703

Mailing address

8251 W Broward Blvd Ste 304
Plantation, FL 33324-2703
Phone (954) 731-1101

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KRISTEN.SMITH@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20080521000688 FL Practitioner - Nurse Practitioner 9032288659 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9186213FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Primary Care LLC CurrentSince Sep 15, 2015 Accepting new patients
DRS. Labi & Brady, PA Past Accepting new patients

Locations

9800 W Sample Rd
Ste B
Coral Springs, FL 33065
Phone (954) 341-3739

8251 W Broward Blvd
Ste 304
Plantation, FL 33324
Phone (954) 731-1101

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1255516373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8251 W BROWARD BLVD STE 304",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242703",
            "telephone_number": "954-731-1101",
            "fax_number": "954-731-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 W BROWARD BLVD STE 304",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242703",
            "telephone_number": "954-731-1101",
            "fax_number": "954-731-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTEN",
        "middle_name": "MARIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9186213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KRISTEN.SMITH@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "8251 W Broward Blvd Ste 304",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333242703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.