Kerry-Ann Tameka Smith, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11032889 Issued in FL

Practice address

10571 Bexley Blvd
Boca Raton, FL 33428-1210

Phone

(561) 926-3155

NPI assigned

May 20, 2024

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 FL

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gardens Neurology PLLCGroup PAC ID 8022331990, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CGHHCD

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.

• Gardens Neurology PLLC

  • Neurology Physician
  • Palm Beach Gardens, FL
  • NPI 1598184939
  Medicare reassignment Care Compare group NPD
• Serene-Journey Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenacres, FL
  • NPI 1447181615
  NPD Authorized official
• Huma Ali MD PA

  • Geriatric Medicine (Family Medicine) Physician
  • Parkland, FL
  • NPI 1821314956
  NPD (past)

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1124867239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 NE 9TH AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334353209",
            "telephone_number": "561-324-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10571 BEXLEY BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281210",
            "telephone_number": "561-926-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KERRY-ANN",
        "middle_name": "TAMEKA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11032889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley A Smith, PT
• Che'Yoni N Smith
• Curtisa Curranesha Smith
• Dionne K.O Smith, DNP
• Jermaine Prescott Smith, PHARM.D
• Kyair Katie-Mae Smith, MD
• Larysa Smith, DDS
• Marysa Monica Smith, CCC-SLP
• Maura Smith
• Melody Smith, LMHC CI

• Psychiatric/Mental Health Nurse Practitioner in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.