Individual provider Active NPI

Kathleen Marie Smith, RN

  • Family Nurse Practitioner
  • Artesia, NM
National Provider Identifier
1497302947
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
84249 Issued in NM
Practice address
301 S Roselawn Ave
Artesia, NM 88210-2462
Phone
(575) 746-3616
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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 84249 NM Primary

Addresses

Primary practice location

301 S Roselawn Ave
Artesia, NM 88210-2462

Mailing address

404 S 16TH St
Artesia, NM 88210-1709
Phone (505) 850-0632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20250905002403 NM Practitioner - Nurse Practitioner 9133621402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zencare Family Wellness LLCGroup PAC ID 3779969167, 3 clinicians

Practice addresses (Care Compare)

301 S Roselawn Ave
Artesia, NM 88210-2462
Phone (575) 746-3616

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zencare Family Wellness LLC CurrentSince Aug 1, 2025 Accepting new patients
Michael J Grafe DO LTD PastSince Jun 8, 2025 Accepting new patients
Artesia Public Schools PastSince Aug 1, 2019 Accepting new patients

Locations

301 S Roselawn Ave
Artesia, NM 88210
Phone (505) 746-3616

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25994/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1497302947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S 16TH ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101709",
            "telephone_number": "505-850-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S ROSELAWN AVE",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882102462",
            "telephone_number": "575-746-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2025-06-02",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "84249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, NM

Sources for this page

Verify at the official NPI Registry.