Kirk Randall Smith, DHSC, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP2640782 Issued in FL

Practice address

1475 Airport Road
Lakeland, FL 33811

Phone

(863) 499-6018

Fax

(863) 686-8868

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1518010305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 AIRPORT ROAD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33811",
            "telephone_number": "863-499-6018",
            "fax_number": "863-686-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 AIRPORT ROAD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33811",
            "telephone_number": "863-499-6018",
            "fax_number": "863-686-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIRK",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "DHSC, ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2460782",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2640782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie G Smith, RMHCI
• Jennifer Smith
• Jesusa Corazon Rabe Smith, RPT
• Joseph Smith Jr., RPH
• Kendall Louis Smith II, RPH
• Lacey Smith, DPT
• Lasheba Smith, PMHNP
• Lindsey Michelle Smith
• Maria Theresa Smith
• Matthew S. Smith, M.D.

• Nurse Practitioner in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.