Individual provider Active NPI

Katharine Therese Smith, RNC

  • Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1407039837
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP011260 Issued in PA
Practice address
833 Chestnut St FL 1
Philadelphia, PA 19107
Phone
(215) 955-2420
NPI assigned
Dec 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP011260 PA Primary

Addresses

Primary practice location

833 Chestnut St FL 1
Philadelphia, PA 19107

Mailing address

833 Chestnut St FL 1
Philadelphia, PA 19107-4404
Phone (215) 955-5000

Other practice location 1

3535 Market St
Philadelphia, PA 19104-3309
Phone (215) 746-3535

Other practice location 2

3 Crescent Dr Fl 2
Philadelphia, PA 19112-1016
Phone (215) 503-6709

Other practice location 3

1302 Wolf St
Philadelphia, PA 19148-2912
Phone (215) 952-5170

Other practice location 4

3535 Market St
Philadelphia, PA 19104-3309
Phone (215) 746-3535

Other practice location 5

2130 Spring Garden St Fl 1
Philadelphia, PA 19130-3502
Phone (215) 955-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150122000935 PA Practitioner - Nurse Practitioner 9931423928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

1020 Baltimore Pike
Suite 310
Glen Mills, PA 19342-1343
Phone (610) 565-8564

Hospital & facility affiliations

  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare Nurse Practitioner CurrentSince Mar 14, 2026 Accepting new patients
Drexel University Current Accepting new patients
Drexel University CurrentSince Nov 19, 2014 Accepting new patients
Drexel University CurrentSince Nov 19, 2014 Accepting new patients
Jefferson University Physicians Past Accepting new patients
Main Line Healthcare PastSince Mar 14, 2026 Accepting new patients
Thomas Jefferson University Hospitals Inc PastSince Nov 12, 2019 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

1020 Baltimore Pike
Ste 310
Glen Mills, PA 19342
Phone (484) 227-7532

1098 W Baltimore Pike
Ste 3106
Media, PA 19063
Phone (610) 891-6240

1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

1601 Cherry St
Ste 11511
Philadelphia, PA 19102

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1407039837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074404",
            "telephone_number": "215-955-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19107",
            "telephone_number": "215-955-2420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Market St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191043309",
            "country_code": "US",
            "telephone_number": "215-746-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Crescent Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191121016",
            "country_code": "US",
            "telephone_number": "215-503-6709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1302 Wolf St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191482912",
            "country_code": "US",
            "telephone_number": "215-952-5170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Market St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191043309",
            "country_code": "US",
            "telephone_number": "215-746-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 Spring Garden St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191303502",
            "country_code": "US",
            "telephone_number": "215-955-9555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHARINE",
        "middle_name": "THERESE",
        "credential": "RNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP011260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.