Individual provider Active NPI

Weston Andrew Smith, CRNP

  • Acute Care Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1376391102
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-143809 Issued in AL
Practice address
4601 Whitesburg Dr SE Ste 201
Huntsville, AL 35802-1678
Phone
(256) 714-9600
NPI assigned
May 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-143809 AL Primary

Addresses

Primary practice location

4601 Whitesburg Dr SE Ste 201
Huntsville, AL 35802-1678

Mailing address

4601 Whitesburg Dr SE Ste 201
Huntsville, AL 35802-1678
Phone (256) 880-1050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240626002964 AL Practitioner - Nurse Practitioner 9234673633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntsville Cardiovascular Clinic, P. C.Group PAC ID 3476546003, 17 clinicians

Practice addresses (Care Compare)

4601 Whitesburg Dr SE
Suite 201
Huntsville, AL 35802-1678
Phone (256) 880-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-143809ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crestwood HB Medical Services LLC CurrentSince May 31, 2024 Accepting new patients
Huntsville Cardiovascular Clinic, P.C. PastSince May 12, 2024 Accepting new patients

Locations

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

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.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1376391102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 WHITESBURG DR SE STE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021678",
            "telephone_number": "256-880-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 WHITESBURG DR SE STE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021678",
            "telephone_number": "256-714-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WESTON",
        "middle_name": "ANDREW",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-143809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.