Individual provider Active NPI

Kristin E Smiley, CRNP

  • Family Medicine Physician
  • Kittanning, PA
National Provider Identifier
1962997916
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SP018881 Issued in PA
Practice address
300 Medical Arts BLDG Ste 300
Kittanning, PA 16201
Phone
(724) 545-1288
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP018881 PA Primary

Addresses

Primary practice location

300 Medical Arts BLDG Ste 300
Kittanning, PA 16201

Mailing address

300 Medical Arts BLDG Ste 300
Kittanning, PA 16201-7129
Phone (724) 545-1288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180920002820 PA Practitioner - Nurse Practitioner 4082965603 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP018881PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Faster Care PLLC CurrentSince Oct 10, 2022 Accepting new patients

Locations

250B Butler Cmns
Butler, PA 16001
Phone (877) 967-4368

21 Franklin Village Mall
Kittanning, PA 16201
Phone (724) 543-3278

147 Mulone Dr
Sarver, PA 16055
Phone (724) 295-0087

100 Innovation Dr
Ste 103
Slippery Rock, PA 16057
Phone (724) 738-0912

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1962997916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL ARTS BLDG STE 300",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017129",
            "telephone_number": "724-545-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL ARTS BLDG STE 300",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "16201",
            "telephone_number": "724-545-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "KRISTIN",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP018881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

Verify at the official NPI Registry.