Active NPI
Susan Kay Smith, FNP-BC
- Family Nurse Practitioner
- Oak Hill, WV
National Provider Identifier
1992345235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 105143
- Practice address
- 430 Main St W
Oak Hill, WV 25901-3455 - Phone
- (304) 469-8600
- NPI assigned
- Jan 15, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 105143 | WV | Primary |
Addresses
Primary practice location
430 Main St W
Oak Hill, WV 25901-3455
Mailing address
119 Main St W Ste a
Oak Hill, WV 25901-2972
Phone (304) 465-0544
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | susan.smith.1@1572.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1468 Ritter Dr
Daniels, WV 25832-9356
Phone (304) 253-3860
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105143 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prompt Care, Inc. | Current | Accepting new patients | |
| Peachtree Inpatient Consulting LLC | Current | Accepting new patients |
Locations
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
1468 Ritter Dr
Daniels, WV 25832
Phone (304) 253-2860
430 Main St W
Oak Hill, WV 25901
Phone (276) 325-0678
Interoperability endpoints
- susan.smith.1@32403.direct.athenahealth.com
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.
-
- Basic Emergency Medical Technician
- Glen Morgan, WV
- NPI 1790115848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1992345235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 MAIN ST W STE A",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259012972",
"telephone_number": "304-465-0544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 MAIN ST W",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259013455",
"telephone_number": "304-469-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SUSAN",
"middle_name": "KAY",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-15",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "105143",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "susan.smith.1@1572.direct.athenahealth.com",
"affiliation": "N",
"address_1": "430 Main St W",
"city": "Oak Hill",
"state": "WV",
"country_code": "US",
"postal_code": "259013455",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Hill, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.