Active NPI
Kayla Dianne Smith
- Nurse's Aide
- Hyattsville, MD
National Provider Identifier
1073185351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CNA20211772
- Practice address
- 630 Sheridan St Apt 204
Hyattsville, MD 20783-3217 - Phone
- (240) 709-0412
- NPI assigned
- Jul 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA20211772 | MD | Primary |
Addresses
Primary practice location
630 Sheridan St Apt 204
Hyattsville, MD 20783-3217
Mailing address
630 Sheridan St Apt 204
Hyattsville, MD 20783-3217
Phone (240) 709-0412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNA20211772 | MD | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626307200000",
"number": "1073185351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 SHERIDAN ST APT 204",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207833217",
"telephone_number": "240-709-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 SHERIDAN ST APT 204",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207833217",
"telephone_number": "240-709-0412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KAYLA",
"middle_name": "DIANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-15",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MD",
"license": "CNA20211772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.