Active NPI
Kathleen Dawn Smith, PA
- Physician Assistant
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2008004931
- Practice address
- 2321 S. National
Smith Glynn Callaway Urgent Care
Springfield, MO 65807 - Phone
- (417) 888-5666
- Fax
- (417) 890-4174
- NPI assigned
- Sep 30, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 878 | IA | |
| Physician Assistant | 363A00000X | 2008004931 | MO | Primary |
Addresses
Primary practice location
2321 S. National
Smith Glynn Callaway Urgent Care
Springfield, MO 65807
Mailing address
3231 S National Ave
Urgent Care
Springfield, MO 65807-7304
Phone (417) 888-5666
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431560263 | Other | TRICARE WEST | |
| P00653964 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Springfield Communities
Practice addresses (Care Compare)
1605 Martin Springs Dr
Rolla, MO 65401-2980
2115 S Fremont Ave
3050 MC Infectious Disease Whiteside
Springfield, MO 65804-2236
Phone (417) 820-3905
2150 W Republic Rd
112 Mercy GH Urgent Care SW Springfield
Springfield, MO 65807-6056
Phone (417) 986-1291
303 W Sunshine St
Mercy Gohealth Urgent Care W Sunshine
Springfield, MO 65807-2656
Phone (417) 986-0452
3045 S National Ave
Springfield, MO 65804-4268
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 878 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Physician Assistant | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Lincoln County Hospital | Past | Accepting new patients |
Locations
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
3231 S National Ave
Springfield, MO 65807
Phone (417) 829-4444
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Springfield, MO
- NPI 1871094052
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Rural Health Clinic/Center
- Saint James, MO
- NPI 1134251929
Physician Assistant
-
- Critical Access Hospital
- Lincoln, KS
- NPI 1942265327
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1306833702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3231 S NATIONAL AVE",
"address_2": "URGENT CARE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658077304",
"telephone_number": "417-888-5666",
"fax_number": "417-890-4174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 S. NATIONAL",
"address_2": "SMITH GLYNN CALLAWAY URGENT CARE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65807",
"telephone_number": "417-888-5666",
"fax_number": "417-890-4174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KATHLEEN",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-30",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "878",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2008004931",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE WEST",
"identifier": "431560263",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00653964",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.