Kurtis Smith

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

337200-01 Issued in NY

Practice address

835 Clarkson Ave Apt 2C
Brooklyn, NY 11203-2247

Phone

(347) 429-1926

NPI assigned

Oct 17, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1184340564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 CLARKSON AVE APT 2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032247",
            "telephone_number": "347-429-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 CLARKSON AVE APT 2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032247",
            "telephone_number": "347-429-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KURTIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "337200-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kurtissmith88@gmail.com",
            "affiliation": "N",
            "address_1": "835 Clarkson Ave Apt 2C",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112032247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenyetta Smith
• Kimberly Smith
• Kimberly Grace Smith, M.S., CCC-SLP, TSSLD
• Kourtney L Smith, LPN
• Kristen Smith
• La-Tisha Smith
• Latoya Smith, RN
• Latoya Althea Smith
• Laura Alicia Smith, LCSW
• Lauren Dana Smith, MPS, LCAT, ATR-BC

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.