Active NPI
Kayla Smith, FNP-BC
- Family Nurse Practitioner
- Plymouth, IN
National Provider Identifier
1487436770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28246371A
- Practice address
- 2855 Miller Dr Ste 205
Plymouth, IN 46563-8093 - Phone
- (260) 267-8489
- Fax
- (844) 909-4798
- NPI assigned
- Oct 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28246371A | IN | Primary |
Addresses
Primary practice location
2855 Miller Dr Ste 205
Plymouth, IN 46563-8093
Mailing address
58071 County Road 23
Goshen, IN 46528-7722
Phone (260) 267-8489
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Medical PC | Current | Accepting new patients |
Locations
343 S Nappanee St
Elkhart, IN 46514
Phone (574) 295-0096
250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173
250 Skillman St
Ste 202
Brooklyn, NY 11205
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1487436770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58071 COUNTY ROAD 23",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465287722",
"telephone_number": "260-267-8489",
"fax_number": "844-909-4798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 MILLER DR STE 205",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "465638093",
"telephone_number": "260-267-8489",
"fax_number": "844-909-4798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KAYLA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-20",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28246371A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.