Individual provider Active NPI

Kathleen Mary Gross-Smith, APRN

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1447342670
Registry record updated May 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110290 Issued in NE
Practice address
201 Capitol Beach Blvd Ste 1a
Lincoln, NE 68528-1645
Phone
(402) 435-0228
Fax
(402) 435-0229
NPI assigned
Sep 28, 2006
Last updated
May 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2012

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 110290 NE Primary

Addresses

Primary practice location

201 Capitol Beach Blvd Ste 1a
Lincoln, NE 68528-1645

Mailing address

201 Capitol Beach Blvd Ste 1a
Lincoln, NE 68528-1645
Phone (402) 435-0228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Heart Institute PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336780800000",
    "number": "1447342670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CAPITOL BEACH BLVD STE 1A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685281645",
            "telephone_number": "402-435-0228",
            "fax_number": "402-435-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CAPITOL BEACH BLVD STE 1A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685281645",
            "telephone_number": "402-435-0228",
            "fax_number": "402-435-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS-SMITH",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.