Individual provider Active NPI

Maryl Smith, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1366826455
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3009559 Issued in KY
Practice address
10100 Linn Station Rd
Louisville, KY 40223-3861
Phone
(502) 909-0772
Fax
(877) 299-2777
NPI assigned
Jul 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G149034 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3009559 KY Primary

Addresses

Primary practice location

10100 Linn Station Rd
Louisville, KY 40223-3861

Mailing address

10100 Linn Station Rd Ste 1a
Louisville, KY 40223-3861
Phone (502) 909-0772

Other practice location 1

8521 La Grange Rd
Louisville, KY 40242-3800
Phone (502) 814-3624

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150930001739 KY Practitioner - Nurse Practitioner 1951619600 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Louisville School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aptiva HealthGroup PAC ID 0547595316, 36 clinicians

Practice addresses (Care Compare)

3615 Newburg Rd
Louisville, KY 40218-3368
Phone (502) 909-0772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kmi Acquisition LLC CurrentSince May 1, 2022 Accepting new patients
Aptiva Health CurrentSince Mar 1, 2024 Accepting new patients
Kmi Acquisition LLC Psychiatric/Mental Health CurrentSince May 1, 2022 Accepting new patients
Aptiva Health CurrentSince Mar 1, 2024 Accepting new patients
TBD Acquisition, LLC CurrentSince May 9, 2016 Accepting new patients
Boone County Hospital Past Accepting new patients
Aptiva Health Past Accepting new patients

Locations

529 Westport Rd
Ste 2
Elizabethtown, KY 42701

2093 Medical Arts Dr
Hebron, KY 41048
Phone (859) 442-6600

426 Codell Dr
Ste 100
Lexington, KY 40509

230 Fountain Ct
Ste 180
Lexington, KY 40509
Phone (859) 276-5008

3615 Newburg Rd
Louisville, KY 40218
Phone (502) 583-1011

101 W Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 589-8615

401 N English Station Rd
Louisville, KY 40223

300 S 13th St
Louisville, KY 40203
Phone (502) 583-1011

1405 Browns Ln
Louisville, KY 40207
Phone (502) 896-0495

3611 Newburg Rd
Louisville, KY 40218

10100 Linn Station Rd
Ste 1A
Louisville, KY 40223
Phone 5029090772 ext. 85585

8521 La Grange Rd
Louisville, KY 40242
Phone (502) 426-5648

Organizations & group practices 7

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": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1366826455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 LINN STATION RD STE 1A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233861",
            "telephone_number": "502-909-0772",
            "fax_number": "877-299-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 LINN STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233861",
            "telephone_number": "502-909-0772",
            "fax_number": "877-299-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8521 La Grange Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402423800",
            "country_code": "US",
            "telephone_number": "502-814-3624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARYL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G149034",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3009559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.