Individual provider Active NPI

Bethany Skye Smith, CRNP

  • Family Nurse Practitioner
  • Cullman, AL
National Provider Identifier
1972312148
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-180173 Issued in AL
Practice address
1935 Al Highway 157 Ste C
Cullman, AL 35058-1862
Phone
(256) 297-3030
NPI assigned
Jan 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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 1-180173 AL Primary

Addresses

Primary practice location

1935 Al Highway 157 Ste C
Cullman, AL 35058-1862

Mailing address

791 County Road 1169
Cullman, AL 35057-0729
Phone (205) 471-2989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250129003272 AL Practitioner - Nurse Practitioner 9133658586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rushforth Family Care LLCGroup PAC ID 3476900648, 2 clinicians

Practice addresses (Care Compare)

1935 Al Hwy 157
Suite C
Cullman, AL 35058-1862
Phone (256) 297-1504

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-180173ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rushforth Family Care LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

1935 AL Highway 157
Ste C
Cullman, AL 35058
Phone (256) 297-1504

Interoperability endpoints

  • Direct secure messaging: bethany.smith@638670494498820.direct.elationemr.com

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.

Hospital & facility affiliations 1

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": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1972312148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 COUNTY ROAD 1169",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350570729",
            "telephone_number": "205-471-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 AL HIGHWAY 157 STE C",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350581862",
            "telephone_number": "256-297-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BETHANY",
        "middle_name": "SKYE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-180173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.