Individual provider Active NPI

Melinda Rae Smith, ARNP

  • Family Nurse Practitioner
  • Barbourville, KY
National Provider Identifier
1841448339
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5727P Issued in KY
Practice address
215 Treuhaft Blvd
Ste 3B
Barbourville, KY 40906-7361
Phone
(606) 545-0400
Fax
(606) 545-0433
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5727P KY Primary

Addresses

Primary practice location

215 Treuhaft Blvd
Ste 3B
Barbourville, KY 40906-7361

Mailing address

215 Treuhaft Blvd
Ste 3B
Barbourville, KY 40906-7361
Phone (606) 545-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20091005000012 KY Practitioner - Nurse Practitioner 1951447077 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5727PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital, Inc. Family Current Accepting new patients
Pomerene Hospital Current Accepting new patients
Memorial Hospital, Inc. CurrentSince Sep 5, 2009 Accepting new patients
Memorial Hospital Inc CurrentSince Oct 15, 2024 Accepting new patients
Memorial Hospital Inc. Family CurrentSince Oct 15, 2024 Accepting new patients

Locations

215 Treuhaft Blvd
Ste 2
Barbourville, KY 40906
Phone (606) 545-0400

1881 S US Highway 25E
Barbourville, KY 40906
Phone (606) 545-0400

215 Treuhaft Blvd
Ste 3B
Barbourville, KY 40906
Phone (606) 545-0400

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

12904 Robert L Madon Byp
#2
Pineville, KY 40977
Phone (606) 598-4508

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10052317

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1841448339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TREUHAFT BLVD",
            "address_2": "STE 3B",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067361",
            "telephone_number": "606-545-0400",
            "fax_number": "606-545-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TREUHAFT BLVD",
            "address_2": "STE 3B",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067361",
            "telephone_number": "606-545-0400",
            "fax_number": "606-545-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELINDA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "5727P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barbourville, KY

Sources for this page

Verify at the official NPI Registry.