Kristen Nicole Smith, RN, BSN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

R081878 Issued in AR

Practice address

778 Scogin Dr
Monticello, AR 71655-5729

Phone

(870) 460-3509

Fax

(870) 460-3528

NPI assigned

Feb 13, 2018

Last updated

Feb 13, 2018By the provider in NPPES

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

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1801396213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 SCOGIN DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555729",
            "telephone_number": "870-460-3509",
            "fax_number": "870-460-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 SCOGIN DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555729",
            "telephone_number": "870-460-3509",
            "fax_number": "870-460-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "AR",
            "license": "R081878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine N Smith
• Joshua Jackson Smith
• Joyce Ann Smith, RN
• Katherine R Smith, MS CCC-SLP
• Kendall Smith
• Susan Wolfe Smith, APRN
• Tina Smith
• South Arkansas Rehabilitation, Inc.
• Southeast Arkansas Pharmacies LLC (The Prescription Pad Pharmacy)
• Southeast Arkansas Pharmacies LLC (The Prescription Pad Pharmacy)

• Diabetes Educator Registered Nurse in Monticello, AR
• Providers in Monticello, AR by specialty
• Diabetes Educator Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.