Active NPI
Kristine Smith Anesthesia Services, PC
- Certified Registered Nurse Anesthetist
- Indianapolis, IN
National Provider Identifier
1619147139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 55000059A
- Legal business name
- KRISTINE SMITH ANESTHESIA SERVICES, PC
- Practice address
- 9002 N Meridian St
Indianapolis, IN 46260-5381 - Phone
- (317) 567-2180
- Fax
- (317) 567-2191
- NPI assigned
- Mar 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kristine C Smith, CRNA
- Title
- Owner
- Phone
- (317) 567-2180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 55000059A | IN | Primary |
Addresses
Primary practice location
9002 N Meridian St
Indianapolis, IN 46260-5381
Mailing address
PO Box 3054
Indianapolis, IN 46206-3054
Phone (317) 567-2180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200901560A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
9002 N Meridian St
Indianapolis, IN 46260
Phone (317) 844-5530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262908800000",
"number": "1619147139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3054",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462063054",
"telephone_number": "317-567-2180",
"fax_number": "317-567-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9002 N MERIDIAN ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605381",
"telephone_number": "317-567-2180",
"fax_number": "317-567-2191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTINE SMITH ANESTHESIA SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-12",
"last_updated": "2010-01-08",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KRISTINE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-567-2180",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "55000059A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200901560A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.