Kelly Smerling

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

19497 Issued in TN

Practice address

6900 Alden Dr
Fe Warren Afb, WY 82005-3906

Phone

(307) 773-5661

NPI assigned

Jan 12, 2015

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ksmerling13811@direct.chppoc.masshiway.net

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.

• Longwood Pediatrics, LLP

  • Pediatrics Physician
  • Boston, MA
  • NPI 1528192887
  NPD (past)

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1497144612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MONTALTO DR",
            "address_2": "15A",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820076519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 ALDEN DR",
            "city": "FE WARREN AFB",
            "state": "WY",
            "postal_code": "820053906",
            "telephone_number": "307-773-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMERLING",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "19497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hans V Ritschard, PH.D.
• Gerald E Roettger, PT, DPT, CSCS
• Stephen Dixon Ross, PSY.D.
• Kendall Schwentker, PHARMD
• Ryan Kiel Shields, IDMT
• Cal Richard Smith, PA-C
• John Batterson Stetson V, MD PSYCHIATRIST
• Wendy Lisa Stevens, PA-C
• Robert Wade Washburn, PA
• Jason Noel Whiting, DDS

• Pediatric Nurse Practitioner in Fe Warren Afb, WY
• Providers in Fe Warren Afb, WY by specialty
• Pediatric Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.