Kimberly S Smith, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-45363 Issued in KS

Practice address

9350 E 35TH St N Ste 101
Wichita, KS 67226-2022

Phone

(316) 265-1308

Fax

(316) 265-4480

NPI assigned

Aug 6, 2006

Sex

Female

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

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rock Ridge Family Medicine, P.a.Group PAC ID 9537254263, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Rock Ridge Family Medicine, P.a.

  • Family Medicine Physician
  • Bel Aire, KS
  • NPI 1023228459
  Medicare reassignment Care Compare group NPD
• J & K Bariatric Nursing, LLC

  • Family Medicine Physician
  • Andover, KS
  • NPI 1134585615
  NPD (past)

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556409600000",
    "number": "1124037205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47669",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672017669",
            "telephone_number": "316-712-9233",
            "fax_number": "316-219-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 E 35TH ST N STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262022",
            "telephone_number": "316-265-1308",
            "fax_number": "316-265-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-06",
        "last_updated": "2019-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-45363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katarina Isabella Smith
• Katy Laurissa Smith, PHARMD
• Kelsey Smith
• Kelsie Smith, APRN
• Kimberly Renee Smith
• Kirsten B Smith, PA-C
• Lana K Smith, P.T.
• Larone Smith
• Larry L. Smith, LSCSW LCAC
• Laura G Smith, LAC

• Family Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.