Individual provider Active NPI

Yvonne L Smith, FNP

  • Family Nurse Practitioner
  • Greenville, MO
National Provider Identifier
1316997117
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
143295 Issued in MO
Practice address
102 Oak Street # 187
Greenville, MO 63944-6394
Phone
(573) 224-3135
Fax
(573) 224-3080
NPI assigned
May 11, 2006
Last updated
Jun 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 143295 MO Primary

Addresses

Primary practice location

102 Oak Street # 187
Greenville, MO 63944-6394

Mailing address

102 Oak Street
PO Box 187
Greenville, MO 63944-2436
Phone (573) 224-3135

Other identifiers 3

IdentifierTypeStateIssuer
832594039OtherMOMISSOURI MEDICARE
420847709MedicaidMO
1316997117MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ylsmith@windstream.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
143295MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnes Health LLC CurrentSince Jun 21, 2023 Accepting new patients
BC Missouri Emergency Physicians, LLP Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

2101 Corona Rd
Ste 102
Columbia, MO 65203
Phone (573) 234-1800

1734 Market St
Hannibal, MO 63401
Phone (573) 221-2930

11515 Troost Ave
Kansas City, MO 64131
Phone (813) 943-4104

2041 Silva Ln
Moberly, MO 65270
Phone (660) 263-1894

4401 N Hanley Rd
Saint Louis, MO 63134
Phone (314) 521-7471

2800 Highway TT
#Four
Sedalia, MO 65301
Phone (660) 826-8803

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, 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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1316997117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 OAK STREET",
            "address_2": "PO BOX 187",
            "city": "GREENVILLE",
            "state": "MO",
            "postal_code": "639442436",
            "telephone_number": "573-224-3135",
            "fax_number": "573-224-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 OAK STREET # 187",
            "city": "GREENVILLE",
            "state": "MO",
            "postal_code": "639446394",
            "telephone_number": "573-224-3135",
            "fax_number": "573-224-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "YVONNE",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "143295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI MEDICARE",
            "identifier": "832594039",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420847709",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316997117",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ylsmith@windstream.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "102 Oak Street # 187",
            "city": "GREENVILLE",
            "state": "MO",
            "country_code": "US",
            "postal_code": "639446394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.