Individual provider Active NPI

Kimberly Rita Smith, FNP

  • Family Nurse Practitioner
  • Ludlow, MA
National Provider Identifier
1255041349
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2279714 Issued in MA
Practice address
471 Center St
Ludlow, MA 01056-2733
Phone
(413) 625-3500
Fax
(413) 625-3655
NPI assigned
Nov 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2279714 MA Primary

Addresses

Primary practice location

471 Center St
Ludlow, MA 01056-2733

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

Other practice location 1

31 Hall Dr
Amherst, MA 01002-2751
Phone (413) 256-8561

Other practice location 2

238 Northampton St
Easthampton, MA 01027-1046
Phone (413) 529-9300

Other practice location 3

329 Conway St
Greenfield, MA 01301-1521
Phone (413) 774-6301

Other practice location 4

70 Main St
Florence, MA 01062-1466
Phone (413) 586-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230110001880 DC Practitioner - Nurse Practitioner 3678943503 Reassigns benefits to 1 organization
I20241021000377 MA Practitioner - Nurse Practitioner 3678943503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

471 Ctr St
Ludlow, MA 01056-2733
Phone (413) 625-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Sep 1, 2024 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Sep 1, 2024 Accepting new patients
MNR Industries, LLC Current Accepting new patients
MNR Industries, LLC Current Accepting new patients
MNR Industries LLC CurrentSince Dec 27, 2022 Accepting new patients
MNR Industries, LLC CurrentSince Dec 27, 2022 Accepting new patients
Convenientmd - FFS UC LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Dec 27, 2022 Accepting new patients

Locations

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010

471 Center St
Ludlow, MA 01056
Phone (413) 625-3500

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

2006 Rock Spring Rd
Forest Hill, MD 21050
Phone (410) 569-0044

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1255041349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700",
            "fax_number": "603-319-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 CENTER ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010562733",
            "telephone_number": "413-625-3500",
            "fax_number": "413-625-3655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Hall Dr",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "MA",
            "postal_code": "010022751",
            "country_code": "US",
            "telephone_number": "413-256-8561",
            "fax_number": "866-644-0869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "238 Northampton St",
            "address_purpose": "LOCATION",
            "city": "Easthampton",
            "state": "MA",
            "postal_code": "010271046",
            "country_code": "US",
            "telephone_number": "413-529-9300",
            "fax_number": "866-644-0870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "329 Conway St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MA",
            "postal_code": "013011521",
            "country_code": "US",
            "telephone_number": "413-774-6301",
            "fax_number": "866-644-0871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Main St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "MA",
            "postal_code": "010621466",
            "country_code": "US",
            "telephone_number": "413-586-8400",
            "fax_number": "866-644-0872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "RITA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2279714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

Verify at the official NPI Registry.