Individual provider Active NPI

Kelli Hargrave Smolarz, PA-C

  • Physician Assistant
  • St Thomas, VI
National Provider Identifier
1922019488
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
027 Issued in VI
Practice address
9149 Estate Thomas
Ste 308
St Thomas, VI 00802-3132
Phone
(340) 774-8881
Fax
(340) 774-1569
NPI assigned
Aug 10, 2006
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04179 TX
Physician Assistant 363A00000X 027 VI Primary

Addresses

Primary practice location

9149 Estate Thomas
Ste 308
St Thomas, VI 00802-3132

Mailing address

9149 Estate Thomas
Ste 308
St Thomas, VI 00802-3132
Phone (340) 774-8881

Other names 1

  • Kelli Brooke Hargrave Former name

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)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ascent Medical LLC Current Accepting new patients
Comprehensive Orthopedics LLC Past Accepting new patients

Locations

1710 Kongens Gade
St Thomas, VI 00802

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1922019488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9149 ESTATE THOMAS",
            "address_2": "STE 308",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008023132",
            "telephone_number": "340-774-8881",
            "fax_number": "340-774-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9149 ESTATE THOMAS",
            "address_2": "STE 308",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008023132",
            "telephone_number": "340-774-8881",
            "fax_number": "340-774-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLARZ",
        "first_name": "KELLI",
        "middle_name": "HARGRAVE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04179",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VI",
            "license": "027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "HARGRAVE",
            "middle_name": "BROOKE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.