Kathleen Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10735 Issued in NV

Practice address

2651 N Green Valley Pkwy
Henderson, NV 89014-0266

Phone

(702) 353-9777

Fax

(702) 776-7464

NPI assigned

Feb 16, 2007

Last updated

Sep 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ultimate 'U' Medical , Inc

  • General Practice Physician
  • Henderson, NV
  • NPI 1154719615
  Authorized official Same address or phone
• Nopah Vista Emergency Physicians LLC

  • Emergency Medicine Physician
  • Pahrump, NV
  • NPI 1396794095
  NPD (past)
• Acute Care Specialists, Inc.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1447294640
  NPD (past)
• Chenango Memorial Hospital, Inc.

  • Family Medicine Physician
  • Norwich, NY
  • NPI 1467526889
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1447394085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 N GREEN VALLEY PKWY STE 103",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140234",
            "telephone_number": "702-353-9777",
            "fax_number": "702-776-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 N GREEN VALLEY PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140266",
            "telephone_number": "702-353-9777",
            "fax_number": "702-776-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHLEEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "10735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Smith
• Jasmine Smith
• Joshua Smith, PA-C
• Karen Ann Smith
• Karmen Smith, LCSW
• Lashunta Smith
• Loribeth Smith
• Mable Hamilton Smith, RN
• Mandy Smith
• Mary Smith

• Family Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.