Carla Jean Smith, APN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

A003948 Issued in AR

Practice address

501 Virginia Dr
Suite a
Batesville, AR 72501-7331

Phone

(870) 698-4826

Fax

(870) 793-2627

NPI assigned

Aug 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Still Waters Wellness LLCGroup PAC ID 2860853751, 2 clinicians

White River Health System, Inc.Group PAC ID 0143134270, shared by 36 NPIs, 190 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Still Waters Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cave City, AR
  • NPI 1497446769
  Medicare reassignment Care Compare group NPD Authorized official
• White River Health System, Inc

  • Rural Health Clinic/Center
  • Newport, AR
  • NPI 1871609743
  Medicare reassignment NPD
• White River Health System, Inc.

  • Psychiatry Physician
  • Batesville, AR
  • NPI 1710952650

  Psychiatric/Mental Health

  Medicare reassignment NPD
• White River Health System, Inc.

  • Hospitalist Physician
  • Batesville, AR
  • NPI 1831495423
  Medicare reassignment NPD
• White River Health System, Inc.

  • Surgery Physician
  • Batesville, AR
  • NPI 1992125850
  Medicare reassignment
• White River Health System, Inc.

  • Neurology Physician
  • Batesville, AR
  • NPI 1235101601
  NPD

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673049600000",
    "number": "1962836213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 VIRGINIA DR",
            "address_2": "SUITE A",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017331",
            "telephone_number": "870-698-4826",
            "fax_number": "870-793-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 VIRGINIA DR",
            "address_2": "SUITE A",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017331",
            "telephone_number": "870-698-4826",
            "fax_number": "870-793-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARLA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2023-01-07",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003948",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A003948",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A003948",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A003948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sloan Eye Clinic
• Nikki L Smart
• Amanda Smith, MD
• Amber Smith, MHPP
• Asthon Smith
• Cary Smith, OTR/L
• Holley Smith
• Ila Smith
• Justin William Smith
• Nicole Smith, APRN

• Acute Care Nurse Practitioner in Batesville, AR
• Providers in Batesville, AR by specialty
• Acute Care Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.