Active NPI
Kristin Nuccio Smith, D.C.
- Chiropractor
- Slidell, LA
National Provider Identifier
1962709741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1593
- Practice address
- 436 Old Spanish TRL
Slidell, LA 70458-3904 - Phone
- (985) 641-4898
- Fax
- (985) 641-8060
- NPI assigned
- Feb 14, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1593 | LA | Primary |
Addresses
Primary practice location
436 Old Spanish TRL
Slidell, LA 70458-3904
Mailing address
436 Old Spanish TRL
Slidell, LA 70458-3904
Phone (985) 641-4898
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E and G Enterprises Inc | Past | Accepting new patients | |
| Global Medical Center, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Customized Equipment (DME)
- Slidell, LA
- NPI 1639475353
-
- Rehabilitation Chiropractor
- Slidell, LA
- NPI 1710036496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297641600000",
"number": "1962709741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 OLD SPANISH TRL",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704583904",
"telephone_number": "985-641-4898",
"fax_number": "985-641-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 OLD SPANISH TRL",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704583904",
"telephone_number": "985-641-4898",
"fax_number": "985-641-8060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KRISTIN",
"middle_name": "NUCCIO",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-14",
"last_updated": "2011-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.