Individual provider Active NPI

Kristy M Smothers, ARNP

  • Family Nurse Practitioner
  • Durant, OK
National Provider Identifier
1922086149
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0062038 Issued in OK
Practice address
2149 Ed F Davis Rd
Durant, OK 74701-3085
Phone
(580) 931-8180
Fax
(580) 931-8015
NPI assigned
Jan 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0062038 OK Primary

Addresses

Primary practice location

2149 Ed F Davis Rd
Durant, OK 74701-3085

Mailing address

2149 Ed F Davis Rd
Durant, OK 74701-3085
Phone (580) 931-8180

Other identifiers 1

IdentifierTypeStateIssuer
200060820AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050810000815 OK Practitioner - Nurse Practitioner 8527002138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center of Durant PCGroup PAC ID 1850497546, 4 clinicians

Practice addresses (Care Compare)

2149 Ed F Davis Rd
Durant, OK 74701-1053
Phone (580) 931-8180

Hospital & facility affiliations

  • Mays Housecall Home Health of Durant Home health agency, Durant, OK, CCN 377748
  • Alliancehealth Durant Hospital, Durant, OK, CCN 370014
  • Texoma Medical Center Hospital, Denison, TX, CCN 450324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0062038OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center of Durant PC Family CurrentSince Dec 28, 2006 Accepting new patients
Uhs of Texoma, Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients
Durant Hma LLC Past Accepting new patients

Locations

2149 Ed F Davis Rd
Durant, OK 74701
Phone (580) 931-8180

720 Bryan Dr
Ste A
Durant, OK 74701
Phone (580) 615-3035

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1922086149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 ED F DAVIS RD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013085",
            "telephone_number": "580-931-8180",
            "fax_number": "580-931-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 ED F DAVIS RD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013085",
            "telephone_number": "580-931-8180",
            "fax_number": "580-931-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOTHERS",
        "first_name": "KRISTY",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0062038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200060820A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.