Active NPI
William Smith
- Peer Specialist
- London, KY
National Provider Identifier
1497654115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 1223482
- Practice address
- 1249 S Main St Ste 3
London, KY 40741-2004 - Phone
- (606) 350-2219
- NPI assigned
- Nov 2, 2026
- Last updated
- Nov 2, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 1223482 | KY | Primary |
Addresses
Primary practice location
1249 S Main St Ste 3
London, KY 40741-2004
Mailing address
499 Ky 3436
Gray, KY 40734-6545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793577600000",
"number": "1497654115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "499 KY 3436",
"city": "GRAY",
"state": "KY",
"postal_code": "407346545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1249 S MAIN ST STE 3",
"city": "LONDON",
"state": "KY",
"postal_code": "407412004",
"telephone_number": "606-350-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "WILLIAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-11-02",
"last_updated": "2026-11-02",
"certification_date": "2026-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": "KY",
"license": "1223482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.