KRISTIE D. SMITH (NPI# 1407860182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407860182 |
| Entity Type | Individual |
| Full Name | KRISTIE D. SMITH |
| Other Name | KRISTIE JONES |
| Credential | ARNP |
| Practice Address |
544 Brawley School Rd Ste A Mooresville NC 28117-9393 |
| Practice Telephone | 6065734440 |
| Practice Fax Number | 6065734441 |
| Mailing Telephone | 6065734440 |
| Mailing Fax Number | 6065734441 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5011421 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3004931 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78017019 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578109286 | Kristie Gail Smith | Nurse Practitioner | 98 Cope Creek Rd A-b, Sylva, NC 28779 | 2019-11-18 |
| 1821323304 | Kristie Jo Smith | Nurse Practitioner | 118 Johns Dr, Leesburg, GA 31763-4506 | 2009-10-16 |
| 1760020119 | Kristie Smith | Dietitian, Registered | 63 Spring St, Springville, AL 35146-3514 | 2019-12-17 |
| 1912561911 | Kristie Ann Smith | Counselor | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2019-04-24 |
| 1609387687 | Kristie Lynn Smith | Behavior Technician | 550 N Reo St Ste 202, Tampa, FL 33609-1062 | 2017-10-18 |
| 1700339249 | Kristie A Smith | Nurse Practitioner | 8483 Holly Rd, Grand Blanc, MI 48439-1840 | 2016-08-02 |
| 1740533389 | Kristie Opal Smith | Audiologist | 1084 N Cole Rd, Boise, ID 83704-8642 | 2012-10-19 |
| 1063778934 | Kristie Marie Smith | Internal Medicine | 110 Francis St Ste 4b, Boston, MA 02215-5501 | 2012-04-05 |
| 1336411586 | Kristie Nicole Smith | Counselor | 1310 N Hearne Ave, Shreveport, LA 71107-6516 | 2012-02-03 |
| 1316267453 | Kristie Alana Smith | Licensed Practical Nurse | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2010-06-10 |
| Street Address |
544 BRAWLEY SCHOOL RD STE A |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-9393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750775466 | Iredell Physician Network | Family Medicine | 544 Brawley School Rd, Suite C, Mooresville, NC 28117-9392 | 2015-03-20 |
| 1093105942 | Iredell Physician Network | Internal Medicine | 544 Brawley School Rd, Suite C, Mooresville, NC 28117-9392 | 2015-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079356 | Brianna Helen Devalk | Nurse Practitioner | 161 Mott Rd, Mooresville, NC 28115-8588 | 2020-10-06 |
| 1497361067 | Kara Lloyd | Nurse Practitioner | 105 Sapling St Apt 101, Mooresville, NC 28117-7063 | 2020-09-19 |
| 1710518220 | Katie T Kissel | Nurse Practitioner | 128 E Plaza Dr Ste 3, Mooresville, NC 28115-8000 | 2020-02-03 |
| 1942844527 | Samuel Sackenheim | Nurse Practitioner | 117 Clodfelter Rd, Mooresville, NC 28115-7810 | 2019-11-06 |
| 1932743846 | Amber W Waddell | Nurse Practitioner | 103 Sandreed Dr, Mooresville, NC 28117-4360 | 2019-11-04 |
| 1205483922 | Elizabeth Lamb | Nurse Practitioner | 510 River Hwy Ste 15a, Mooresville, NC 28117-6943 | 2019-08-19 |
| 1023520301 | Dawn Marie Cahn | Nurse Practitioner | 137 Shavender Dr, Mooresville, NC 28117-6407 | 2017-10-26 |
| 1831637545 | Gisela Blake | Nurse Practitioner | 112 Argus Ln Ste A, Mooresville, NC 28117-9270 | 2017-02-02 |
| 1215338330 | Michelle Jackson | Nurse Practitioner | 115 Fields St # De, Mooresville, IN 46158-1492 | 2014-09-08 |
| 1538428875 | Erica Hendress | Nurse Practitioner | 523 South State Road 67, Minute Clinic, Mooresville, IN 46158-4529 | 2012-05-07 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
Please comment or provide details below to improve the information on KRISTIE D. SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.