Active NPI
Elizabeth Ann Smoot, MSN, PMHNP-BC, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Louisville, KY
National Provider Identifier
1144775826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3010628
- Practice address
- 100 Executive Park Ste 103
Louisville, KY 40207-4201 - Phone
- (216) 468-5000
- Fax
- (216) 456-8128
- NPI assigned
- Aug 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3010628 | KY | Primary |
Addresses
Primary practice location
100 Executive Park Ste 103
Louisville, KY 40207-4201
Mailing address
510 Spring St
Jeffersonville, IN 47130-3554
Phone (812) 282-1888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Louisville School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Executive Park
Suite 103
Louisville, KY 40207-4201
Phone (502) 552-5068
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Behavioral Consultants, LLC | Current | Accepting new patients |
Locations
10331 Champion Farms Dr
Louisville, KY 40241
Phone (502) 313-6877
100 Executive Park
Ste 103
Louisville, KY 40207
Phone (502) 313-6880
Interoperability endpoints
- pbc.elizabethannsmoot@140097.advancedmd-direct.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1144775826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 SPRING ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303554",
"telephone_number": "812-282-1888",
"fax_number": "812-285-8392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EXECUTIVE PARK STE 103",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074201",
"telephone_number": "216-468-5000",
"fax_number": "216-456-8128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOOT",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "MSN, PMHNP-BC, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-23",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3010628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.