Individual provider Active NPI

Christy Renae Smith

  • Family Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1467946350
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
73888 Issued in WV
Practice address
250 Stanaford Rd Ste 209
Beckley, WV 25801-3140
Phone
(304) 255-3520
Fax
(304) 254-3524
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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 73888 WV Primary

Addresses

Primary practice location

250 Stanaford Rd Ste 209
Beckley, WV 25801-3140

Mailing address

3997 Beckley Rd
Princeton, WV 24740-7660
Phone (304) 431-5499

Other practice location 1

3997 Beckley Rd
Princeton, WV 24740-7660
Phone (304) 431-5499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20190724002855 WV Practitioner - Nurse Practitioner 5092041301 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New River Health Association, Inc. CurrentSince Nov 11, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Oct 2, 2020 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Oct 2, 2020 Accepting new patients
New River Health Association, Inc. CurrentSince Nov 11, 2025 Accepting new patients
New River Health Association, Inc. Past Accepting new patients

Locations

1828 Harper Rd
Beckley, WV 25801
Phone (304) 253-4004

211 Sunset Dr
Beckley, WV 25801
Phone (304) 255-4522

250 Stanaford Rd
Beckley, WV 25801
Phone (304) 252-7331

250 Stanaford Rd
Ste 209
Beckley, WV 25801
Phone (304) 255-3520

497 Mall Rd
Oak Hill, WV 25901
Phone (304) 469-3261

Interoperability endpoints

  • Direct secure messaging: christy.smith@wvafn.hcadirect.net

Organizations & group practices 5

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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1467946350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3997 BECKLEY RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247407660",
            "telephone_number": "304-431-5499",
            "fax_number": "304-431-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STANAFORD RD STE 209",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013140",
            "telephone_number": "304-255-3520",
            "fax_number": "304-254-3524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3997 Beckley Rd",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "247407660",
            "country_code": "US",
            "telephone_number": "304-431-5499",
            "fax_number": "304-431-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTY",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "73888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.