Kalia C Lucas Smith

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN088422 Issued in GA

Practice address

405 Kendrick Ter SW
Atlanta, GA 30331-9109

Phone

(404) 839-2107

NPI assigned

Nov 29, 2023

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1093581183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 KENDRICK TER SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303319109",
            "telephone_number": "404-839-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 KENDRICK TER SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303319109",
            "telephone_number": "404-839-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS SMITH",
        "first_name": "KALIA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN088422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Frederick Lubin, MD
• Jeffrey Michael Lucarelli, PA-S
• Kristina Muther Lucarelli, MSN
• James W Lucarini, MD
• Lucas Smith Enterprises
• Anne Lucas, CNIM
• Donnica Lucas
• Edward E. Lucas, D.D.S.
• Jason Lucas, PA-C
• Jason Lucas, M.D.

• Licensed Practical Nurse in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.