Keanti Smith, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

905821 Issued in MS

Practice address

501 Springridge Rd
Clinton, MS 39056-5633

Phone

(601) 713-3900

Fax

(601) 713-3970

NPI assigned

Feb 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1699473017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SPRINGRIDGE RD",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565633",
            "telephone_number": "601-713-3900",
            "fax_number": "601-713-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SPRINGRIDGE RD",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565633",
            "telephone_number": "601-713-3900",
            "fax_number": "601-713-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEANTI",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Simmons
• Christopher Joseph Simon
• Skare Transportation Service, LLC
• SM Solutions LLC
• Akemi Smith
• Lashane Ramona Smith
• Madison Elizabeth Smith
• Sonya Jeaneanne Smith
• Terry Smith, BSW
• Santanna Sneed

• Family Nurse Practitioner in Clinton, MS
• Providers in Clinton, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.