MEDICARE: SARAH BETH SMOOT CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	106108	WV

General Provider Information

NPI Number	:	1295681484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BETH SMOOT CRNA

Provider Business Mailing Address
First Line	:	2724 EMMONS AVE
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25702-1126
Country	:	US
Telephone Number	:	304-840-2919
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 GROVE RD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29605-4210
Country	:	US
Telephone Number	:	864-695-6189
Fax Number	:	864-522-9585

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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