Kim Smith

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1-180295 Issued in AL

Practice address

29 Medical Center LN Ste a
Guntersville, AL 35976-7390

Phone

(256) 571-8717

NPI assigned

Mar 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Marshall Medical Center North Medical Centers Behavioral Health ClinicGroup PAC ID 6406151323, 3 clinicians

MMC Specialty CareGroup PAC ID 7911403670, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Marshall Medical Center North Medical Centers Behavioral Health Clinic

  • Psychiatry Physician
  • Guntersville, AL
  • NPI 1790169282
  Medicare reassignment Care Compare group NPD
• MMC Specialty Care

  • Specialist
  • Boaz, AL
  • NPI 1467342642
  Medicare reassignment Care Compare group NPD

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

• HH Health System - Marshall LLC

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  Care Compare affiliation

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1417606179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MEDICAL CENTER LN STE A",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MEDICAL CENTER LN STE A",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767390",
            "telephone_number": "256-571-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-180295",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-180295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad M Sisk, D.O.
• Gerard A. Skaziak, DPM
• Matthew W Slaughter, DMD
• Deanne M Smith
• Holly Wynette Smith, CMA
• Kimberly Kennamer Smith, ED.S
• Lakeisha Danyale Smith, M.S.
• Leroy Joseph Smith, C.R.N.A.
• Matthew Patrick Smith, D.O.
• Patrick Ryan Smith

• Psychiatric/Mental Health Nurse Practitioner in Guntersville, AL
• Providers in Guntersville, AL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.