Kenya Smith

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

36369 Crestway Ave
Prairieville, LA 70769

Phone

(225) 588-0775

NPI assigned

Mar 10, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1520640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184127698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36369 CRESTWAY AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693272",
            "telephone_number": "225-810-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36369 CRESTWAY AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "70769",
            "telephone_number": "225-588-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KENYA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010YM0800X",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alivia Simmons
• Khadijah Kashay Simmons, MSW, LMSW
• Smart Dental Care Prairieville, LLC
• Alexus Jakai Smith, BCABA
• Christina Smith, D.N.M.
• Kimberly B. Smith, M.A., CCC-SLP
• Lillian Grace Smith
• Nina Smith
• Samira D Smith
• Sola Prosthetics, Inc

• Case Manager/Care Coordinator in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.