Individual provider Active NPI

Kate Olivia Smith

  • Family Nurse Practitioner
  • Mountain Home, AR
National Provider Identifier
1376289405
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R106096 Issued in AR
Practice address
230 Highway 5 N Ste 10
Mountain Home, AR 72653-3013
Phone
(870) 232-0900
NPI assigned
May 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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 R106096 AR Primary

Addresses

Primary practice location

230 Highway 5 N Ste 10
Mountain Home, AR 72653-3013

Mailing address

230 Highway 5 N Ste 10
Mountain Home, AR 72653-3013
Phone (870) 232-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20220727000492 AR Practitioner - Nurse Practitioner 1456733203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women'S Wellness IncGroup PAC ID 9537578489, 4 clinicians
Women'S Wellness and Aesthetics LLCGroup PAC ID 6608355839, 4 clinicians

Practice addresses (Care Compare)

1223 Commerce Dr
Suite 2
Mountain Home, AR 72653-2617

330 Hwy 5 N
Suite 10
Mountain Home, AR 72653-3039
Phone (870) 232-0900

405 Colewood Dr
Mountain Home, AR 72653-4175

Hospital & facility affiliations

  • Baxter Health Hospital, Mountain Home, AR, CCN 040027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R106096ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Wellness & Aesthetics LLC Family CurrentSince Feb 1, 2026 Accepting new patients
Women'S Wellness, Inc. Family CurrentSince Apr 1, 2022 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

230 Highway 5 N
Ste 10
Mountain Home, AR 72653
Phone (870) 232-0900

330 Highway 5 N
#10
Mountain Home, AR 72653
Phone (870) 232-0900

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1376289405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HIGHWAY 5 N STE 10",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533013",
            "telephone_number": "870-232-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HIGHWAY 5 N STE 10",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533013",
            "telephone_number": "870-232-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATE",
        "middle_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "R106096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.