Kelli Smith Pmhnp-BC LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KELLI SMITH PMHNP-BC LLC

Practice address

43 Brookfield Cir
Framingham, MA 01701-4036

Phone

(774) 509-0401

NPI assigned

Oct 6, 2022

Organization subpart

No

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

Authorized official

Name

Kelli Ann Smith, PMHNPNPI 1932382637

Title

Owner

Phone

(774) 509-0401

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelli Smith, APRN-BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Framingham, MA
  • NPI 1932382637

  NH

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1215652854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BROOKFIELD CIR",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014036",
            "telephone_number": "774-509-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BROOKFIELD CIR",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014036",
            "telephone_number": "774-509-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLI SMITH PMHNP-BC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-509-0401",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Keenan
• Leonilda Altagracia Keil, M.ED.
• Nancy D Keller-Towne, RN
• Diane Lyn Kelley, LMHC
• Mina Alexandra Kelley, BA
• Katie Elizabeth Kelly, M.A.
• Robert A Kelly, DDS
• Matthew Patrick Kemble, BCBA, LABA
• Lauren Kemple, NP
• Julie Joyce Kenary, MA

• Psychiatric/Mental Health Nurse Practitioner in Framingham, MA
• Providers in Framingham, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.