Individual provider Active NPI

James A Smith, RN, CRNA

  • Certified Registered Nurse Anesthetist
  • Farmington, MO
National Provider Identifier
1659325942
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
069686 Issued in MO
Practice address
400 Parkland Dr
Farmington, MO 63640-2906
Phone
(573) 756-8000
Fax
(573) 756-8288
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 069686 MO Primary

Addresses

Primary practice location

400 Parkland Dr
Farmington, MO 63640-2906

Mailing address

400 Parkland Dr
Farmington, MO 63640-2906
Phone (573) 756-8000

Other identifiers 1

IdentifierTypeStateIssuer
913542510MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060721000096 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517970312 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Medical Center Stockhoff Memorial Nursing Home CurrentSince Sep 9, 2025 Accepting new patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Madison Medical Center Stockhoff Memorial Nursing Home CurrentSince Sep 9, 2025 Accepting new patients

Locations

400 Parkland Dr
Farmington, MO 63640
Phone (303) 755-3201

611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061

Organizations & group practices 3

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1659325942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PARKLAND DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402906",
            "telephone_number": "573-756-8000",
            "fax_number": "573-756-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARKLAND DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402906",
            "telephone_number": "573-756-8000",
            "fax_number": "573-756-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "RN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "069686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913542510",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.