Active NPI
Melody Smith
- Registered Nurse
- Harlan, KY
National Provider Identifier
1205744141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1179314
- Practice address
- 37 Ball Park Rd
Harlan, KY 40831-1701 - Phone
- (606) 573-4520
- NPI assigned
- Aug 31, 2026
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1179314 | KY | Primary |
Addresses
Primary practice location
37 Ball Park Rd
Harlan, KY 40831-1701
Mailing address
PO Box 99
Cumberland, KY 40823-0099
Phone (606) 505-6236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1205744141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99",
"city": "CUMBERLAND",
"state": "KY",
"postal_code": "408230099",
"telephone_number": "606-505-6236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 BALL PARK RD",
"city": "HARLAN",
"state": "KY",
"postal_code": "408311701",
"telephone_number": "606-573-4520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MELODY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1179314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harlan, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.