Individual provider Active NPI

Kali C Smith, APRN

  • Pediatric Nurse Practitioner
  • Bardstown, KY
National Provider Identifier
1144554916
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3006155 Issued in KY
Practice address
201 S 5TH St
Bardstown, KY 40004-1142
Phone
(502) 348-6309
Fax
(502) 348-2793
NPI assigned
Sep 28, 2009
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 3006155 KY Primary
Pediatric Nurse Practitioner 363LP0200X 6155P KY

Addresses

Primary practice location

201 S 5TH St
Bardstown, KY 40004-1142

Mailing address

201 S 5TH St
Bardstown, KY 40004-1142
Phone (502) 348-6309

Other practice location 1

102 W Depot St
Springfield, KY 40069-1159
Phone (859) 336-3952

Other identifiers 1

IdentifierTypeStateIssuer
7100088400MedicaidKY

Other names 1

  • Kalie M Chowning Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20091121000044 KY Practitioner - Nurse Practitioner 3971642455 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bardstown Primary Care, PLLC Pediatrics CurrentSince Sep 27, 2009 Accepting new patients
Bardstown Primary Care, PLLC CurrentSince Sep 27, 2009 Accepting new patients

Locations

201 S 5th St
Bardstown, KY 40004
Phone (502) 348-5968

102 W Depot St
Springfield, KY 40069
Phone (606) 336-7343

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1144554916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S 5TH ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041142",
            "telephone_number": "502-348-6309",
            "fax_number": "502-348-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 5TH ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041142",
            "telephone_number": "502-348-6309",
            "fax_number": "502-348-2793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 W Depot St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "KY",
            "postal_code": "400691159",
            "country_code": "US",
            "telephone_number": "859-336-3952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KALI",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3006155",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "6155P",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100088400",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALIE",
            "last_name": "CHOWNING",
            "middle_name": "M",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.