Individual provider Active NPI

Lindsey C. Smitherman, CRNA

  • Certified Registered Nurse Anesthetist
  • Montgomery, AL
National Provider Identifier
1679885032
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-109133 Issued in AL
Practice address
470 Taylor Rd
Montgomery, AL 36117-3563
Phone
(334) 226-4048
Fax
(334) 323-5675
NPI assigned
Jul 13, 2010
Last updated
Sep 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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 1-109133 AL Primary

Addresses

Primary practice location

470 Taylor Rd
Montgomery, AL 36117-3563

Mailing address

2151 Old Rocky Ridge Rd
Suite 106
Birmingham, AL 35216-7251
Phone (205) 989-1080

Other identifiers 2

IdentifierTypeStateIssuer
193989MedicaidAL
512-02415OtherALBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820000413 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810021284 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Varicosity LLCGroup PAC ID 3678541596, 19 clinicians

Practice addresses (Care Compare)

1935 E Glenn Ave
Suite 102
Auburn, AL 36830-5729
Phone (334) 647-1811

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince Aug 30, 2017 Accepting new patients
Varicosity LLC CurrentSince May 12, 2021 Accepting new patients
Ivy Creek of Elmore, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 21, 2018 Accepting new patients
Amsol Anesthetists of Georgia LLC-Hughston Surgical Center Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2017 Accepting new patients
Anesthesia Associates of East Alabama LLC CurrentSince Oct 1, 2018 Accepting new patients
Ivy Creek Specialty Care Current Accepting new patients
Ivy Creek Specialty Care CurrentSince Dec 1, 2020 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Jan 21, 2018 Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients
Amsol Anesthetists of Georgia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2017 Accepting new patients

Locations

1935 E Glenn Ave
Ste 102
Auburn, AL 36830
Phone (334) 321-4989

2704 20th St S
#100
Homewood, AL 35209
Phone 2053831723225

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1950 Berryhill Rd
Montgomery, AL 36117
Phone 2055921800209

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1679885032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 OLD ROCKY RIDGE RD",
            "address_2": "SUITE 106",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352167251",
            "telephone_number": "205-989-1080",
            "fax_number": "205-989-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 TAYLOR RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173563",
            "telephone_number": "334-226-4048",
            "fax_number": "334-323-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHERMAN",
        "first_name": "LINDSEY",
        "middle_name": "C.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-109133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193989",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "512-02415",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.