Christina Danyale Smith, LPN
Individual provider Active NPI Licensed Practical Nurse · Bude, MS
NPI 1629877485 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1629877485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- P322216 (MS)
- Practice address
- 122 Holly Street
Bude, MS 39630 - Phone
- (601) 600-0442
- NPI assigned
- Mar 12, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
122 S Holly St
Bude, MS 39630-5602
701 Commerce St
Dallas, TX 75202-4586
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P322216 | MS | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Advanced Mental Health Practice Corporation | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | P322216 | MS | Yes |
Addresses
Primary practice location
122 Holly Street
Bude, MS 39630
Mailing address
1928 Proby Rd SE
MC Call Creek, MS 39647-5395
Phone (601) 748-5996
Other names
- Christina Danyale Mitchell
Other providers in Bude, MS
- King'S Discount Pharmacy
- Kings Discount Pharmacy
- Mississippi State Department of Health
- Heather Michelle Priest
- Alisa B Smith
- Speigha Health, Incorporated
- Speigha Health,Inc.
- Karen A Touchstone
All providers in Bude, MS · Licensed Practical Nurse in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.