Active NPI
Christine Lorraine Smith, NCMMT, LMT
- Nurse's Aide
- Colorado Springs, CO
National Provider Identifier
1861526147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NA00769155
- Practice address
- 4334 Cassidy Street
#109
Colorado Springs, CO 80911-3203 - Phone
- (719) 471-2755
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Nurse's Aide | 376K00000X | NA00769155 | CO | Primary |
Addresses
Primary practice location
4334 Cassidy Street
#109
Colorado Springs, CO 80911-3203
Mailing address
4334 Cassidy Street
Colorado Springs, CO 80911
Phone (719) 205-6647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130409 | Other | CO | CITY LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clsmiths@hotmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA00769155 | CO | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577750400000",
"number": "1861526147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4334 CASSIDY STREET",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80911",
"telephone_number": "719-205-6647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4334 CASSIDY STREET",
"address_2": "#109",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809113203",
"telephone_number": "719-471-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHRISTINE",
"middle_name": "LORRAINE",
"name_prefix": "Mrs.",
"credential": "NCMMT, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2019-12-31",
"certification_date": "2019-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "CO",
"license": "NA00769155",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITY LICENSE",
"identifier": "130409",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clsmiths@hotmail.com",
"affiliation": "N",
"endpointDescription": "E-Mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Self",
"address_1": "4334 Cassidy Street",
"address_2": "#109",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809113203",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.