Stacie Jean Smith, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024176175 Issued in VA

Practice address

12100 Kain Rd
Glen Allen, VA 23059-5717

Phone

(302) 943-8570

NPI assigned

Jun 12, 2018

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

Enrolled in VA

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

Group practices

Radiology Associates of Richmond IncGroup PAC ID 9830088434, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
• CJW Medical Center Hospital, Richmond, VA, CCN 490112
• John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Radiology Associates of Richmond Inc

  • Diagnostic Radiology Physician
  • Richmond, VA
  • NPI 1447297577
  Medicare reassignment Care Compare group NPD

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

• Chippenham & Johnston-Willis Hospitals Inc

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1598708513
  Care Compare affiliation
• Columbia/HCA John Randolph, Inc.

  • General Acute Care Hospital
  • Hopewell, VA
  • NPI 1285671248
  Care Compare affiliation
• HCA Health Services of Virginia Inc

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1194762294
  Care Compare affiliation

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1821581158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 HIOAKS RD",
            "address_2": "STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254072",
            "telephone_number": "804-272-5814",
            "fax_number": "804-560-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 KAIN RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595717",
            "telephone_number": "302-943-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STACIE",
        "middle_name": "JEAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024176175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericka Smith, PHARMD
• Jada Smith, LMHP-S
• Jennifer Smith, LPC
• Marjorie Fields Smith, PMHNP
• Rebecca Marie Smith, NP
• Stephen Smith, LPC
• Jami Lou Smithson, MA
• Sarah Breitbach Sneed, PH.D.
• Shauna Snell, BS
• Chelsea Nicole Snyder, NP

• Nurse Practitioner in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.