Individual provider Active NPI

Christa Louise Smith, FNP

  • Family Nurse Practitioner
  • Canada, KY
National Provider Identifier
1851833834
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010809 Issued in KY
Practice address
75 Pigeonroost Rd
Canada, KY 41519
Phone
(606) 353-7748
NPI assigned
Nov 8, 2016
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN79543-FNP-BC WV
Family Nurse Practitioner 363LF0000X APRN79543-FNP-BC WV
Family Nurse Practitioner 363LF0000X 3010809 KY Primary

Addresses

Primary practice location

75 Pigeonroost Rd
Canada, KY 41519

Mailing address

37 Montrose Dr
Raccoon, KY 41557-8249
Phone (606) 625-1279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV, NC, OH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20161214000170 KY Practitioner - Nurse Practitioner 1052691847 Reassigns benefits to 7 organizations
I20170517000237 WV Practitioner - Nurse Practitioner 1052691847 Reassigns benefits to 2 organizations
I20200408004286 NC Practitioner - Nurse Practitioner 1052691847 Reassigns benefits to 1 organization
I20240522003768 OH Practitioner - Nurse Practitioner 1052691847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Hospital CorporationGroup PAC ID 7719882521, shared by 6 NPIs, 169 clinicians

Practice addresses (Care Compare)

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (954) 939-5000

2245 Winchester Ave
Ashland, KY 41101-7848
Phone (606) 406-2600

912 Park Ave
Ironton, OH 45638-1596
Phone (740) 534-0021

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
77.42
Promoting interoperability
100
Improvement activities
40
Cost
77.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3010809KYMDFamily Nurse Practitioner
APRN79543-FNP-BCWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC Nurse Practitioner CurrentSince Nov 23, 2020 Accepting new patients
Emergency Coverage Services, PC Nurse Practitioner CurrentSince Mar 1, 2020 Accepting new patients
Ashland Hospital Corporation Current Accepting new patients
Emergency Professional Services, Inc. Nurse Practitioner CurrentSince Jan 15, 2017 Accepting new patients
Ashland Hospital Corporation Nurse Practitioner CurrentSince Apr 25, 2024 Accepting new patients
Ashland Hospital Corporation Nurse Practitioner CurrentSince Mar 18, 2024 Accepting new patients
Kentucky Em-I Medical Services PSC Nurse Practitioner CurrentSince Oct 15, 2019 Accepting new patients
Southern Medical Partners, LLC Nurse Practitioner CurrentSince Oct 14, 2020 Accepting new patients
Ashland Hospital Corporation Nurse Practitioner CurrentSince Mar 18, 2024 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Nov 23, 2020 Accepting new patients
Kentucky Em-I Medical Services PSC Nurse Practitioner CurrentSince Oct 15, 2019 Accepting new patients
Health Care Alliance, Inc. CurrentSince Mar 1, 2017 Accepting new patients
Williamson Emergency Physicians LLC Nurse Practitioner CurrentSince Dec 15, 2018 Accepting new patients
Floyd Emergency Group, LLC Nurse Practitioner CurrentSince Nov 2, 2016 Accepting new patients
Ashland Hospital Corporation Nurse Practitioner Current Accepting new patients
Cherokee Emergency Services, Inc. Nurse Practitioner CurrentSince Aug 21, 2018 Accepting new patients

Locations

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

12470 US Route 60
Ashland, KY 41102
Phone (606) 408-6303

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

2245 Winchester Ave
Ashland, KY 41101
Phone (606) 408-2600

398 Diederich Blvd
Ashland, KY 41101
Phone (606) 324-2055

110 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 337-7409

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

609 N Carol Malone Blvd
#100
Grayson, KY 41143
Phone (606) 474-7892

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

354 N Mayo Trl
Paintsville, KY 41240
Phone (606) 372-0221

115 Lee Ave
#101
Pikeville, KY 41501
Phone (606) 727-5296

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

912 Park Ave
Ironton, OH 45638
Phone (740) 532-1100

384 County Road 120 S
South Point, OH 45680
Phone (740) 894-2080

124 Brookshire Ln
Beckley, WV 25801
Phone (304) 252-8551

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

Interoperability endpoints

  • Direct secure messaging: csmith94019@direct.kdhealth.us

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1851833834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MONTROSE DR",
            "city": "RACCOON",
            "state": "KY",
            "postal_code": "415578249",
            "telephone_number": "606-625-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PIGEONROOST RD",
            "city": "CANADA",
            "state": "KY",
            "postal_code": "41519",
            "telephone_number": "606-353-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTA",
        "middle_name": "LOUISE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "APRN79543-FNP-BC",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN79543-FNP-BC",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canada, KY

Sources for this page

Verify at the official NPI Registry.