Deborah Smith, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3006795 Issued in KY

Practice address

332 W Broadway Ste 216
Louisville, KY 40202-2131

Phone

(502) 296-5440

Fax

(844) 269-9707

NPI assigned

May 27, 2010

Last updated

Oct 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gim of Kentucky PLLC

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1326411026

  Family

  Medicare reassignment NPD
• Smith Family Medical Healthcare PLLC

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1306103247
  Authorized official Same address or phone
• Bluegrass Pain Consultants PLLC

  • Interventional Pain Medicine Physician
  • Louisville, KY
  • NPI 1730352972
  NPD (past)
• Pearl Medical Practice PLLC

  • Primary Care Clinic/Center
  • Louisville, KY
  • NPI 1669841631
  NPD (past)

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1326367533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 W BROADWAY STE 216",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022131",
            "telephone_number": "502-296-5440",
            "fax_number": "844-269-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 W BROADWAY STE 216",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022131",
            "telephone_number": "502-296-5440",
            "fax_number": "844-269-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEBORAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100157930",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danah R Smith, BA
• Darlinda D. Smith, A.T.,C., R.N., APRN
• David Howard Smith, D.M.D.
• David V Smith, ED,D
• Deborah Smith
• Debra A Smith, DO, MIHM, MBA
• Demetria Nakia Smith
• Denielle Smith
• Destinee Smith
• Donald Smith, M.D.

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.