Kevin Read Smith, LEP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

LEP2724 Issued in CA

Practice address

444 W 23Rd St
Merced, CA 95340-3723

Phone

(209) 385-6649

NPI assigned

Oct 30, 2018

Last updated

Oct 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Merced City School District

  • Local Education Agency (LEA)
  • Merced, CA
  • NPI 1689715831
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1073080834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W 23RD ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953403723",
            "telephone_number": "209-385-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W 23RD ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953403723",
            "telephone_number": "209-385-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVIN",
        "middle_name": "READ",
        "credential": "LEP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "LEP2724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conroy Carlo Smith
• David Gerard Smith Sr., COUNSELOR III
• Gyonna Navi Smith
• Jamie McClellan Smith, M.S.
• Karalyn D Smith
• Liliana O. Smith, PTA
• Melody Smith
• Paul W. Smith, OD
• Trisha Elaine Smith, LVN
• Alissa K Smouse, PA-C

• School Psychologist in Merced, CA
• Providers in Merced, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.