Kathryn Louise Smith, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704119154 Issued in MI

Practice address

44250 Dequindre Rd
Sterling Heights, MI 48314-1002

Phone

(248) 964-6101

Fax

(248) 964-9888

NPI assigned

Oct 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathryn.smith.1@19270.direct.athenahealth.com

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.

• Henry Ford Health Providence Hospital

  • Surgery Physician
  • Southfield, MI
  • NPI 1942265236

  MI

  Medicare reassignment Care Compare group NPD
• Botsford General Hospital

  • General Practice Registered Nurse
  • Farmington, MI
  • NPI 1134557960

  MI

  Medicare reassignment NPD
• Henry Ford Health Providence Hospital

  • Pediatrics Physician
  • Southfield, MI
  • NPI 1265497226
  Care Compare group NPD
• Henry Ford Health Providence Hospital

  • Psychiatric Hospital Unit
  • Southfield, MI
  • NPI 1003892092
  Care Compare group
• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  Care Compare group
• Henry Ford Health Providence Hospital

  • Clinical Social Worker
  • Southfield, MI
  • NPI 1144285107
  Care Compare group
• Henry Ford Health Providence Hospital

  • Rehabilitation Hospital Unit
  • Southfield, MI
  • NPI 1255316584
  Care Compare group
• Henry Ford Health Providence Hospital

  • Certified Registered Nurse Anesthetist
  • Southfield, MI
  • NPI 1851339196
  Care Compare group
• Botsford General Hospital

  • Urgent Care Clinic/Center
  • Redford, MI
  • NPI 1831402056
  NPD
• Botsford General Hosptial

  • Registered Nurse
  • Livonia, MI
  • NPI 1508043233
  NPD
• Henry Ford Health Providence Hospital

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1922063213

  Adult Health

  NPD
• Haranath Policherla M.D. PC

  • Neurology Physician
  • Grosse Pointe Woods, MI
  • NPI 1275739351
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Health Providence Hospital 364 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467533786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 TOWN CENTER DR STE 203",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841744",
            "telephone_number": "248-585-8250",
            "fax_number": "248-585-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44250 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141002",
            "telephone_number": "248-964-6101",
            "fax_number": "248-964-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHRYN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704119154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "50-0866033-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Joel Smith
• Candice Ann Smith
• Cydnee Smith
• Heather Smith
• Janette Ann Smith
• Lacey Jo Smith, LLBSW
• Shantale Nicole Smith
• Sydney Smith
• Taizha Smith
• Teiana Smith

• All providers in Sterling Heights, MI
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.