Krystina Janae Smith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-144837 Issued in VA

Practice address

4410 Claiborne SQ E Ste 233
Hampton, VA 23666-2072

Phone

(757) 788-8033

NPI assigned

Feb 12, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Positive Support for Children With Autism, LLC

  • Community/Behavioral Health Agency
  • Hampton, VA
  • NPI 1619422623
  NPD

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1770347676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WELLINGTON CIR",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234306283",
            "telephone_number": "757-371-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 CLAIBORNE SQ E STE 233",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662072",
            "telephone_number": "757-788-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRYSTINA",
        "middle_name": "JANAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT-20-144837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmyne Day Smith
• Jenna Napier Smith, MS, OTR/L
• Joshua Richard Smith, M.D.
• Juanita Lynn Smith, MD
• Kelli Pugh Smith, AUD
• Kwesi Azikiwe Smith, DPT
• Laura G Smith, CRNA
• Lucy Holloway Smith, MSN, RN
• Michael Willis Smith Jr., MD
• Myra Ann Smith

• Behavior Technician in Hampton, VA
• Providers in Hampton, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.