Individual provider Active NPI

Kimberly Alicia Smith

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1467916437
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R175031 Issued in MD
Practice address
4924 Campbell Blvd Ste 200
Baltimore, MD 21236-5914
Phone
(410) 933-0000
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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 R175031 MD Primary

Addresses

Primary practice location

4924 Campbell Blvd Ste 200
Baltimore, MD 21236-5914

Mailing address

6201 Greenleigh Ave
Baltimore, MD 21220-2004
Phone (410) 933-6423

Other practice location 1

600 N Wolfe St
Baltimore, MD 21287-0005
Phone (443) 287-8288

Other practice location 2

4000 Mitchellville Rd Ste A308
Bowie, MD 20716-3135
Phone (301) 808-0341

Other names 1

  • Mrs. Kimberly Alicia Smith Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20191120000265 MD Practitioner - Nurse Practitioner 7113359779

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R175031MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Oct 7, 2019 Accepting new patients
Johns Hopkins University CurrentSince Oct 7, 2019 Accepting new patients
Johns Hopkins University Current Accepting new patients

Locations

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

4924 Campbell Blvd
Ste 200
Nottingham, MD 21236
Phone (443) 442-2300

Interoperability endpoints

  • Direct secure messaging: ksmith203100@direct.hopkinsmedicine.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1467916437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4924 CAMPBELL BLVD STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212365914",
            "telephone_number": "410-933-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870005",
            "country_code": "US",
            "telephone_number": "443-287-8288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Mitchellville Rd Ste A308",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207163135",
            "country_code": "US",
            "telephone_number": "301-808-0341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R175031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "SMITH",
            "middle_name": "ALICIA",
            "prefix": "MRS.",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.