Kristie D. Smith, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5011421 Issued in NC

Practice address

544 Brawley School Rd
Ste a
Mooresville, NC 28117-9393

Phone

(606) 573-4440

Fax

(606) 573-4441

NPI assigned

Jul 28, 2006

Last updated

Mar 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kristie Jones Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kristie.smith@iredell.cernerdirect.com
• Direct secure messaging: kristiesmith@imhi.allscriptsdirect.net

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.

• Healthcare Plus P. S. C

  • Clinic/Center
  • Harlan, KY
  • NPI 1962810986
  Authorized official Same address or phone
• Iredell Physician Network LLC

  dba Bremnor Family Medicine

  • Family Medicine Physician
  • Mooresville, NC
  • NPI 1780822288
  NPD (past)
• Iredell Physician Network, LLC

  dba Iredell Family Medicine

  • Family Medicine Physician
  • Mooresville, NC
  • NPI 1518215573
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1407860182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 BRAWLEY SCHOOL RD",
            "address_2": "STE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179393",
            "telephone_number": "606-573-4440",
            "fax_number": "606-573-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 BRAWLEY SCHOOL RD",
            "address_2": "STE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179393",
            "telephone_number": "606-573-4440",
            "fax_number": "606-573-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTIE",
        "middle_name": "D.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3004931",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78017019",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "JONES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandon Smith, ATC, LAT
• Daniel Lee Smith
• Elizabeth Smith
• Heather Jeanette Smith, M.A., CCC-SLP
• Holly Routh Smith, MA, CCC-SLP
• Lydia Smith, OT/L
• Robert Kevin Smith, PHARM D, CGP, FASCP
• Samuel Clarkman Smith, DDS
• Shelby Smith
• SMPT Physical Therapy & Wellness LLC

• Family Nurse Practitioner in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.