Active NPI
Kristina Lyn Smith, N.P.
- Adult Health Nurse Practitioner
- Ashland, NE
National Provider Identifier
1649636770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 111990
- Practice address
- 163 County Road 7
Ashland, NE 68003-1173 - Phone
- (402) 944-8112
- NPI assigned
- Jan 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 111990 | NE | Primary |
Addresses
Primary practice location
163 County Road 7
Ashland, NE 68003-1173
Mailing address
16929 Frances St
Ste 103
Omaha, NE 68130-4684
Phone (402) 944-8112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Attain Health Omaha Medical and Chiropractic, LLC | Current | Accepting new patients | |
| Consulting & Case Management Services, Inc. | Past | Accepting new patients |
Locations
13906 Gold Cir
Ste 102
Omaha, NE 68144
Phone (402) 499-2809
Interoperability endpoints
- kristina.smith.1@18616.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Omaha, NE
- NPI 1568031227
-
- Case Management Agency
- Ashland, NE
- NPI 1588610158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1649636770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16929 FRANCES ST",
"address_2": "STE 103",
"city": "OMAHA",
"state": "NE",
"postal_code": "681304684",
"telephone_number": "402-944-8112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 COUNTY ROAD 7",
"city": "ASHLAND",
"state": "NE",
"postal_code": "680031173",
"telephone_number": "402-944-8112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KRISTINA",
"middle_name": "LYN",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-05",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NE",
"license": "111990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.