Kimberly Lane Smith, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3013682 Issued in KY

Practice address

309 11TH St
Carrollton, KY 41008-1435

Phone

(502) 732-3280

Fax

(502) 575-6234

NPI assigned

Aug 7, 2019

Last updated

Sep 23, 2025By the provider in NPPES

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

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CCMH CorporationGroup PAC ID 2365540465, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carroll County Memorial Hospital Hospital, Carrollton, KY, CCN 181310

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CCMH Corporation

  dba Carroll County Memorial Hospital

  • Critical Access Hospital
  • Carrollton, KY
  • NPI 1225159601
  Medicare reassignment Care Compare group NPD
• CCMH Corporation

  dba CCMH Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Carrollton, KY
  • NPI 1760149413
  NPD
• CCMH Corporation

  dba Bedford Family Practice

  • Rural Health Clinic/Center
  • Bedford, KY
  • NPI 1982891057
  NPD
• CCMH Corporation

  dba Warsaw Family Practice

  • Rural Health Clinic/Center
  • Warsaw, KY
  • NPI 1598798407

  Family

  NPD (past)
• Trimble Family Practice, LLC

  • Family Medicine Physician
  • Bedford, KY
  • NPI 1285708511
  NPD (past)
• Warsaw Family Medicine

  • Family Medicine Physician
  • Warsaw, KY
  • NPI 1124309943
  NPD (past)

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

• CCMH Corporation

  dba Carroll County Memorial Hospital

  • Critical Access Hospital
  • Carrollton, KY
  • NPI 1225159601
  Care Compare affiliation

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1508411562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 11TH ST",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410081435",
            "telephone_number": "502-732-3280",
            "fax_number": "502-575-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 11TH ST",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410081435",
            "telephone_number": "502-732-3280",
            "fax_number": "502-575-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "LANE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J Schroeder, M.D.
• Daniel A Shields, MD
• Siraj U Siddiqi, MD
• Thomas Russell Slone, CRNA
• Bethany Smith
• Alisa Spegal, RBT
• James Corey Stark, PHARMD.
• Christan Stewart, M.D.
• Sy Dan Nguyen, PSC
• The Mind Pillow Counseling

• Family Nurse Practitioner in Carrollton, KY
• Providers in Carrollton, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.