Individual provider Active NPI

Kristina Lyn Smith, N.P.

  • Adult Health Nurse Practitioner
  • Ashland, NE
National Provider Identifier
1649636770
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
111990 Issued in NE
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

Updated by the provider on Apr 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160421000595 NE Practitioner - Nurse Practitioner 1557364254 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Attain Health Omaha Medical and Chiropractic, LLC CurrentSince Sep 1, 2022 Accepting new patients
Consulting & Case Management Services, Inc. PastSince Jun 1, 2006 Accepting new patients

Locations

13906 Gold Cir
Ste 102
Omaha, NE 68144
Phone (402) 499-2809

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.