Kathryn O'Brien Smith, CRNA
Nurse Anesthetist, Certified Registered in Charleston, SC. Individual provider (NPI-1).
NPI number1407367758
StatusActive
Last updated in NPPESOct 10, 2019
Details
- NPI
- 1407367758
- Entity type
- Individual (NPI-1)
- Name
- Kathryn O'Brien Smith
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2017
- Last updated
- Oct 10, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 21531 | SC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 215151 | SC |
Practice location
171 Ashley AveCharleston, SC 29425-9104
Phone 843-792-1414
Mailing address
Po Box 751461Charlotte, NC 28275-1461
Phone 843-792-6200
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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