Healthcare Provider Details

I. General information

NPI: 1871213009
Provider Name (Legal Business Name): ALEAH CATHERINE SMITH CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALEAH CATHERINE BARNES CRNA

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER BOULEVARD
WINSTON SALEM NC
27157-0001
US

IV. Provider business mailing address

109 DAVIS MEADOWS RD
KERNERSVILLE NC
27284-6004
US

V. Phone/Fax

Practice location:
  • Phone: 336-716-2011
  • Fax:
Mailing address:
  • Phone: 980-213-5202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number6967
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: