Emily C Smith, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1099535 Issued in KY

Practice address

1 Medical Village Dr
20 Medical Village Drive Suite 258
Edgewood, KY 41017-3403

Phone

(859) 341-7246

Fax

(859) 341-7867

NPI assigned

Jul 25, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in KY, OH2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Tsga Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Crestview Hills, KY
  • NPI 1043616592

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Cgi Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Cincinnati, OH
  • NPI 1174914352

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Ogi Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Cincinnati, OH
  • NPI 1962776807

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1851314884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEDICAL VILLAGE DR",
            "address_2": "#258 INDEPENDENT ANESTHESIOLOGY PSC",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410175401",
            "telephone_number": "859-341-7246",
            "fax_number": "859-341-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL VILLAGE DR",
            "address_2": "20 MEDICAL VILLAGE DRIVE SUITE 258",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173403",
            "telephone_number": "859-341-7246",
            "fax_number": "859-341-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EMILY",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1099535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM B SHIELD",
            "identifier": "000000384011",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2653936",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200811460",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74011164",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda L Smith, PT
• Ashley Smith, RBT
• Cassandra Ann Smith, CRNA
• Daniel David Smith, FNP-C
• Derek Nathaniel Smith, DNP
• Michael Smith, RN
• Holly Snelling
• Justine Snyder, MS
• Kristin Suzzanne Sommer
• Tracey Dyan Spafford, R.N

• Certified Registered Nurse Anesthetist in Edgewood, KY
• Providers in Edgewood, KY by specialty
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.