Kevin Lee Smith Sr.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

F69615301 Issued in VA

Practice address

2 M St NE Apt 524
Washington, DC 20002-3985

Phone

(301) 732-3414

NPI assigned

Dec 21, 2020

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

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1114514445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 S 14TH ST APT 210",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021087",
            "telephone_number": "301-732-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 M ST NE APT 524",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023985",
            "telephone_number": "301-732-3414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3612 S 14th St Apt 210",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223021087",
            "country_code": "US",
            "telephone_number": "301-732-3414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-21",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "VA",
            "license": "F69615301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keniah Nigel Smith
• Kenneth Edward Smith
• Kerianne Smith, DNP, FNP-C
• Kevin Smith, DO
• Kevin Smith
• Kevin S Smith, M.D.
• Kiara Chantel Smith, HHA
• Kiera Smith
• Kim Rechelle Smith
• Kimberly Smith

• Personal Care Attendant in Washington, DC
• Providers in Washington, DC by specialty
• Personal Care Attendant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.