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CHRISTINA DANYALE SMITH LPN
NPI 1629877485
Licensed Practical Nurse in Bude, MS

Active since March 12, 2025PECOS Enrolled
122 HOLLY STREET, BUDE, MS 39630(601) 600-0442 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Christina Danyale Smith Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTINA DANYALE SMITH LPN (NPI 1629877485) is an individual licensed practical nurse in Bude, Mississippi, licensed in Mississippi (P322216) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1629877485
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCHRISTINA DANYALE SMITHCredential: LPN
Location Address122 HOLLY STREETBude, MS 39630
Mailing Address1928 Proby Rd SeMc Call Creek, MS 39647-5395 · (601) 748-5996
Phone(601) 600-0442
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 12, 2025
NPPES CertifiedMarch 11, 2025
✔ NPI 1629877485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MS · P322216
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
122 HOLLY STREET, Bude, MS 39630
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Other Names 1

Former Name (1)Christina Danyale Mitchell Lpn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christina Danyale Smith Lpn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022504174
PECOS Enrollment IDI20251229001638
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christina Smith's NPI number?

The NPI number for Christina Smith is 1629877485. It was assigned to this individual provider in the NPPES registry on March 12, 2025. The provider is also known as Christina Danyale Mitchell Lpn.

Where is Christina Smith located?

Christina Smith practices at 122 Holly Street, Bude, MS 39630. The listed phone number is (601) 600-0442.

What is Christina Smith's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Is Christina Smith enrolled in Medicare?

Yes. Christina Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christina Smith was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.