Individual provider Active NPI

David Allen Smith, ARNP

  • Family Nurse Practitioner
  • Kalispell, MT
National Provider Identifier
1508456567
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-174664 Issued in MT
Practice address
2425 US Highway 2 E
Kalispell, MT 59901-2309
Phone
(406) 257-1680
Fax
(406) 257-3264
NPI assigned
Jan 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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 NUR-APRN-LIC-174664 MT Primary

Addresses

Primary practice location

2425 US Highway 2 E
Kalispell, MT 59901-2309

Mailing address

2596 Witty LN
Columbia Falls, MT 59912-8830
Phone (406) 249-0876

Other practice location 1

2596 Witty Ln
Columbia Falls, MT 59912-8830
Phone (406) 249-0876

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.smith01@frontier.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20230106001362 MT Practitioner - Nurse Practitioner 6709256829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Behavioral Health and Wellness PLLCGroup PAC ID 6406214790, 3 clinicians
Heavens Peak Healthcare LLCGroup PAC ID 5890030209, 2 clinicians

Practice addresses (Care Compare)

100 2ND St E
Suite 304
Whitefish, MT 59937-2410
Phone (406) 732-6499

1035 9TH St W
Columbia Falls, MT 59912-3817
Phone (406) 250-8717

Hospital & facility affiliations

  • Logan Health - Whitefish Hospital, Whitefish, MT, CCN 271336

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-174664MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heavens Peak Healthcare LLC CurrentSince Sep 13, 2022 Accepting new patients
Scott Inc PastSince Oct 31, 2021 Accepting new patients

Locations

1035 9th St W
Columbia Fls, MT 59912
Phone (406) 250-8717

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1508456567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2596 WITTY LN",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599128830",
            "telephone_number": "406-249-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 US HIGHWAY 2 E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012309",
            "telephone_number": "406-257-1680",
            "fax_number": "406-257-3264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2596 Witty Ln",
            "address_purpose": "LOCATION",
            "city": "Columbia Falls",
            "state": "MT",
            "postal_code": "599128830",
            "country_code": "US",
            "telephone_number": "406-249-0876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-174664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.smith01@frontier.edu",
            "affiliation": "N",
            "address_1": "2596 Witty Ln",
            "city": "Columbia Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599128830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.