William Ken Smith, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP2880202 Issued in FL

Practice address

5250 N Ocean Dr
#4N
Riviera Beach, FL 33404-2657

Phone

(561) 876-5845

Fax

(561) 370-7026

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ken Smith Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1698/brand/1/csg/1/fhir/r4

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.

• Anesthesia & Pain Medicine PA

  • Pain Medicine (Anesthesiology) Physician
  • West Palm Beach, FL
  • NPI 1669438693
  NPD (past)
• Anesthesia and Critical Care Specialists of Palm Beach, PA

  • Anesthesiology Physician
  • West Palm Beach, FL
  • NPI 1639126840

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1942276175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 N OCEAN DR",
            "address_2": "#4N",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334042657",
            "telephone_number": "561-876-5845",
            "fax_number": "561-370-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 N OCEAN DR",
            "address_2": "#4N",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334042657",
            "telephone_number": "561-876-5845",
            "fax_number": "561-370-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WILLIAM",
        "middle_name": "KEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2880202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305440300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEN",
            "last_name": "SMITH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cordelia Smith, LCSW
• Dionne Smith
• Heather Lyn Smith, MSW
• Lisa Smith, PA
• Terry Lee Smith Jr., PHARMD
• Colleen Snead, M.S.
• Jill Ann Somers
• Abigail Somerstein, PHD
• Anthony Sommer
• John William Soria, MS

• Certified Registered Nurse Anesthetist in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.