Active NPI
Kyana Smith, MS, LAT, ATC
- Athletic Trainer
- Martinsville, VA
National Provider Identifier
1386014736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126002416
- Practice address
- 320 Hospital Dr
Rehabilitation Services Department
Martinsville, VA 24112-1900 - Phone
- (276) 806-8685
- NPI assigned
- Sep 29, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | E3150340 | ||
| Athletic Trainer | 2255A2300X | 0126002416 | VA | Primary |
Addresses
Primary practice location
320 Hospital Dr
Rehabilitation Services Department
Martinsville, VA 24112-1900
Mailing address
150 Lee St Apt 6
Collinsville, VA 24078-1397
Phone (434) 250-5145
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126002416 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1386014736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 LEE ST APT 6",
"city": "COLLINSVILLE",
"state": "VA",
"postal_code": "240781397",
"telephone_number": "434-250-5145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 HOSPITAL DR",
"address_2": "REHABILITATION SERVICES DEPARTMENT",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241121900",
"telephone_number": "276-806-8685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KYANA",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-29",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": null,
"license": "E3150340",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126002416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.