Kelly Smith

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

F2931607E1 Issued in CA

Practice address

405 Jackson St
Yreka, CA 96097-2823

Phone

(530) 842-3561

NPI assigned

Sep 29, 2026

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1467366476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 LAKE SHASTINA DR",
            "city": "WEED",
            "state": "CA",
            "postal_code": "960949474",
            "telephone_number": "530-842-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 JACKSON ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960972823",
            "telephone_number": "530-842-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "F2931607E1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siskiyou Professional Medical Service, Prof. Corp.
• Richard Slarve, M.D.
• Tari L Slizewski, LMFT
• Smart Siskiyou Medical Arts, Inc.
• Delores Smith
• Nicole Klaus Smith, DNP, RN, FNP-BC
• Renee L Smith, MFT
• Rose Smith, MS
• Roy E Smith, MD
• Sierra Smith

• Health & Wellness Coach in Yreka, CA
• Providers in Yreka, CA by specialty
• Health & Wellness Coach in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.