Klancie Allison Smith, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

903110 Issued in MS

Practice address

1233 Steele Rd
Starkville, MS 39759-4723

Phone

(662) 617-4894

NPI assigned

Jan 25, 2019

Sex

Female

Sole proprietor

Yes

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

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital-Oktibbeha County Hospital, Starkville, MS, CCN 250050
• BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27388/brand/1/csg/1/fhir/r4

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.

• Northside Medical Clinic

  • Clinic/Center
  • Starkville, MS
  • NPI 1811721442
  Medicare reassignment NPD Authorized official
• New Hope Family Medical Clinic

  • Clinic/Center
  • Columbus, MS
  • NPI 1699400184
  Medicare reassignment NPD
• New Hope Medical Clinic, Inc.

  • Legal Medicine
  • Columbus, MS
  • NPI 1679567556
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hosp Oktibbeha County Inc.

  • Rural Acute Care Hospital
  • Starkville, MS
  • NPI 1346112521
  Care Compare affiliation
• Baptist Memorial Hospital - Golden Triangle Inc.

  • General Acute Care Hospital
  • Columbus, MS
  • NPI 1609830173
  Care Compare affiliation

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1740744572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 STEELE RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397594723",
            "telephone_number": "662-617-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 STEELE RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397594723",
            "telephone_number": "662-617-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KLANCIE",
        "middle_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Smith, MA, CCC/SLP
• Frank Smith
• Frederick W Smith, C.R.N.A.
• Jennifer Grace Smith, LPC
• Kaitlyn Smith
• Roy Lee Smith Jr., RPH
• William Todd Smith, M.D.
• Soulflower Counseling, LLC
• Southern Caregivers of Starkville, LLC
• Southern Family Markets LLC

• Family Nurse Practitioner in Starkville, MS
• Providers in Starkville, 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 Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.