Kelli Hargrave Smolarz, PA-C

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

Sex

Female

Sole proprietor

No

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.

• Ascent Medical LLC

  • Specialist
  • St Thomas, VI
  • NPI 1962215434
  NPD Authorized official
• Comprehensive Orthopedics LLC

  • Specialist
  • St Thomas, VI
  • NPI 1851551675
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

• Kelli Brooke Hargrave Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2025.

{
    "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"
        }
    ]
}

• Daniel John Sims, PT
• Aliya Smith, PT, DPT
• Gary Valdemar Smith, PA
• Jerry Richard Smith, PT, DPT, ATC
• Joseph Smolarz, M.D.
• Soliel Transport LLC
• Sound Waves Audiology LLC
• Misti Spann, PHARMD
• Margaret E. Sprauve, M.D., MPH
• SRMC Anesthesia Services

• All providers in St Thomas, VI
• Physician Assistant in U.S. Virgin Islands

• 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.