Kathleen Moreau Smith, F.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP11751 Issued in CA

Practice address

1200 W Gonzales Rd
Ste 300
Oxnard, CA 93036-3072

Phone

(805) 983-0691

Fax

(805) 983-2026

NPI assigned

Aug 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA, TX2 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

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Internal Medicine of VenturaGroup PAC ID 2466852710, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleen.smith.1@24069.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/24069/brand/1/csg/1/fhir/r4

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.

• Internal Medicine of Ventura

  • Internal Medicine Physician
  • Ventura, CA
  • NPI 1902486517
  Medicare reassignment Care Compare group NPD
• Seaside Emergency Associates

  • Emergency Medicine Physician
  • Ventura, CA
  • NPI 1639577802
  Medicare reassignment NPD
• Ventura Emergency Physicians

  • Emergency Medicine Physician
  • Ventura, CA
  • NPI 1518298686
  Medicare reassignment NPD
• Southeast Alaska Regional Health Consortium

  dba Thorne Bay Health Clinic

  • Clinic/Center
  • Thorne Bay, AK
  • NPI 1376758037

  TX

  Medicare reassignment NPD
• Southeast Alaska Regional Health Consortium

  dba SEARHC Alaska Crossings

  • Community/Behavioral Health Agency
  • Wrangell, AK
  • NPI 1003352402
  NPD
• Southeast Alaska Regional Health Consortium

  dba SEARHC Specialty Care Clinic- Salmon Creek

  • Clinic/Center
  • Juneau, AK
  • NPI 1427941343
  NPD
• H Allen Hooper, M.D. a Professional Corporation

  dba Mission Emergency Medical Associates

  • Family Medicine Physician
  • Camarillo, CA
  • NPI 1205870540
  NPD (past)
• H. Allen Hooper, M.D. a Professional Corporation

  dba Mission Emergency Medical Associates

  • Emergency Medicine Physician
  • Oxnard, CA
  • NPI 1376575118
  NPD (past)
• Southeast Alaska Regional Health Consortium

  dba SEARHC Mt. Edgecumbe Medical Center

  • Critical Access Hospital
  • Sitka, AK
  • NPI 1720062524
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1629080999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660879",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910660879",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W GONZALES RD",
            "address_2": "STE 300",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930363072",
            "telephone_number": "805-983-0691",
            "fax_number": "805-983-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHLEEN",
        "middle_name": "MOREAU",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP11751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CALIFORNIA",
            "identifier": "ZZZ34679Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110039977",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN247089",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Small
• Amber Smith
• Andrew Smith
• Gail F Smith, DC
• Gary Smith, M.D.
• Kelly Elena Smith
• Stephanie Anne Smith, PA-C
• Jane Frances Smithson
• Rachel Christine Snee
• Gina Marie Snyder, PT

• Nurse Practitioner in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.