Individual provider Active NPI

Glenna Noelle Armistead Smith, NP

  • Psychiatry Physician
  • Ashland, VA
National Provider Identifier
1659871309
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0024175870 Issued in VA
Practice address
10469 Atlee Station Rd Ste 100
Ashland, VA 23005-8913
Phone
(804) 944-2605
NPI assigned
Feb 20, 2018
Reactivated
Feb 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024175870 VA
Psychiatry Physician 2084P0800X 0024175870 VA Primary

Addresses

Primary practice location

10469 Atlee Station Rd Ste 100
Ashland, VA 23005-8913

Mailing address

10469 Atlee Station Rd Ste 100
Ashland, VA 23005-8913
Phone (804) 923-4002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20201109001962 VA Practitioner - Nurse Practitioner 9638589328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Psychiatry and Wellness LLC 2 clinicians

Practice addresses (Care Compare)

10469 Atlee Station Rd
Suite 100
Ashland, VA 23005-8913
Phone (804) 923-4002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024175870VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Psychiatry and Wellness LLC Psychiatry CurrentSince Jan 1, 2025 Accepting new patients

Locations

10469 Atlee Station Rd
Ste 100
Ashland, VA 23005
Phone (804) 923-4002

Interoperability endpoints

  • Direct secure messaging: glenna.smith.2@33232.direct.athenahealth.com

Organizations & group practices 1

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1659871309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10469 ATLEE STATION RD STE 100",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230058913",
            "telephone_number": "804-923-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10469 ATLEE STATION RD STE 100",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230058913",
            "telephone_number": "804-944-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GLENNA",
        "middle_name": "NOELLE ARMISTEAD",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "deactivation_date": "2018-02-20",
        "reactivation_date": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175870",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0024175870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, VA

Sources for this page

Verify at the official NPI Registry.