Kristi Smith, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT006646 Issued in GA

Practice address

84 Tinica Way
Newnan, GA 30263-4234

Phone

(706) 302-6990

NPI assigned

Apr 24, 2023

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

Other identifiers 1

Electronic endpoints 1

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": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1801583471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 TINICA WAY",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302634234",
            "telephone_number": "706-302-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 TINICA WAY",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302634234",
            "telephone_number": "706-302-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTI",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT006646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY LICENSE",
            "identifier": "MT006646",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "http://massagebook.com",
            "affiliation": "N",
            "endpointDescription": "Scheduling and SOAP note program",
            "address_1": "84 Tinica Way",
            "city": "Newnan",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302634234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Russell Smith, PA-C
• Jaylun Ian Smith, MD
• Joshua Chase Smith, PT, DPT
• Kayla Smith
• Kevin J Smith, PT
• Laney Miller Smith, DMD
• Laura Frances Smith, PA-C
• Leilani A Smith
• Marlo P Smith, NP
• N'Dia R Smith, LCSW

• Massage Therapist in Newnan, GA
• Providers in Newnan, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.