Kimberly A Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

501056 Issued in NY

Practice address

210 Old Campion Rd
Mohawk Valley Plastic Reconstructive Surgery
New Hartford, NY 13413-1635

Phone

(315) 266-0407

Fax

(315) 266-0410

NPI assigned

Mar 5, 2007

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518096759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 BROTHERTOWN RD",
            "city": "WATERVILLE",
            "state": "NY",
            "postal_code": "134801711",
            "telephone_number": "315-841-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 OLD CAMPION RD",
            "address_2": "MOHAWK VALLEY PLASTIC RECONSTRUCTIVE SURGERY",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131635",
            "telephone_number": "315-266-0407",
            "fax_number": "315-266-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "501056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Sloan, MD
• Slocum Dickson Medical Group PLLC
• Slocum-Dickson Pharmacy Inc
• Allan M. Smiley, M.D.
• Andrew Martin Smith, PT, DPT
• Mark V Smith, MD
• Rachael Marie Smith, OTR/L
• Rachel Smith, MS CCC-SLP
• Robert Scott Smith, PH.D.
• Robert Stuart Smith, MD

• Registered Nurse in New Hartford, NY
• Providers in New Hartford, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.