Kristen Kay Smith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2838 Issued in OK

Practice address

1921 Stonecipher Dr
Ada, OK 74820

Phone

(580) 436-3980

NPI assigned

Dec 29, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, OK2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Mercy Hospital Healdton, Inc.

  • Critical Access Hospital
  • Healdton, OK
  • NPI 1578710406
  Medicare reassignment NPD
• Chickasaw Nation Division of Health

  • General Acute Care Hospital
  • Ada, OK
  • NPI 1255364923

  TX

  Medicare reassignment
• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550
  Medicare reassignment
• Mercy Hospital Healdton, Inc

  • Critical Access Hospital
  • Healdton, OK
  • NPI 1568615656
  Medicare reassignment
• Mercy Hospital Tishomingo, Inc

  • Emergency Medicine Physician
  • Tishomingo, OK
  • NPI 1972809002
  Medicare reassignment
• Chickasaw Nation Division of Health

  • Home Health Agency
  • Ada, OK
  • NPI 1811739071
  NPD
• Mercy Hospital Healdton, Inc.

  • Rural Health Clinic/Center
  • Healdton, OK
  • NPI 1437467388
  NPD
• Mercy Hospital Tishomingo, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Tishomingo, OK
  • NPI 1578868121
  NPD

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1386151330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 STONECIPHER DR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203439",
            "telephone_number": "580-436-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 STONECIPHER DR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "74820",
            "telephone_number": "580-436-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTEN",
        "middle_name": "KAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daelyn Smith, LMSW-P
• Dylan Davis Smith, DO
• Haley Smith
• Jaime Smith, CNM
• Jayden Smith
• McKenzie Reece Smith, OTR/L
• Roderic A Smith, M.D.
• Chelsey Lynn Smothers, APRN-CNP
• Sherry L. Snider
• Christie Snow, M.D.

• Physician Assistant in Ada, OK
• Providers in Ada, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.