Active NPI
Patricia Anne Smith, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Prairie Village, KS
National Provider Identifier
1194003707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 53-75113-021
- Practice address
- 3902 Homestead Court
Prairie Village, KS 66208 - Phone
- (913) 526-9003
- Fax
- (913) 262-1638
- NPI assigned
- Jul 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4468 | KS | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 5375113021 | KS | |
| Psychiatry Physician | 2084P0800X | 53-75113-021 | KS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 53-75113-021 | KS | Primary |
Addresses
Primary practice location
3902 Homestead Court
Prairie Village, KS 66208
Mailing address
3902 Homestead Court
Prairie Village, KS 66208
Phone (913) 526-9003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4468 | KS | MD | Clinical Social Worker |
| 5375113021 | KS | MD | Psychiatric/Mental Health Registered Nurse |
| 53-75113-021 | KS | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Success Health System, LLC | Psychiatry | Current | Accepting new patients |
| Patricia Smith, LLC | Psychiatric/Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Leawood, KS
- NPI 1952642340
-
- Psychiatry Physician
- Columbia, MO
- NPI 1508310293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1194003707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3902 HOMESTEAD COURT",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "66208",
"telephone_number": "913-526-9003",
"fax_number": "913-262-1638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3902 HOMESTEAD COURT",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "66208",
"telephone_number": "913-526-9003",
"fax_number": "913-262-1638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "PATRICIA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-31",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "4468",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "KS",
"license": "5375113021",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KS",
"license": "53-75113-021",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "53-75113-021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.