Individual provider Active NPI

Kaitlyn Brooke Smith, NP

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1598306037
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012905A Issued in IN
Practice address
251 N Lyerly St Ste 100
Chattanooga, TN 37404-2743
Phone
(423) 826-8000
Fax
(423) 826-8005
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71012905A IN Primary
Family Nurse Practitioner 363LF0000X 38161 TN
Family Nurse Practitioner 363LF0000X 903530 MS

Addresses

Primary practice location

251 N Lyerly St Ste 100
Chattanooga, TN 37404-2743

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KSMITH175@IUHEALTH.ORG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220926002803 IN Practitioner - Nurse Practitioner 3375977051
I20250521000160 TN Practitioner - Nurse Practitioner 3375977051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yium, Shenouda and Miller PtrshpGroup PAC ID 3274510037, 49 clinicians

Practice addresses (Care Compare)

1 Siskin PLZ
Chattanooga, TN 37403-1306
Phone (423) 634-1200

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (423) 698-6061

251 N Lyerly St
Chattanooga, TN 37404-2743
Phone (423) 826-8000

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-2525

709 Walnut St
Chattanooga, TN 37402-1916
Phone (423) 266-7721

941 Spring Creek Rd
Chattanooga, TN 37412-3909
Phone (423) 894-7870

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yium, Shenouda & Miller Ptrshp CurrentSince May 5, 2025 Accepting new patients

Locations

251 N Lyerly St
Ste 100
Chattanooga, TN 37404
Phone (423) 826-8000

Interoperability endpoints

  • Direct secure messaging: ksmith175@iuhealth.org
  • Direct secure messaging: ksmith420241@direct.stlukeshealth.org

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1598306037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N LYERLY ST STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042743",
            "telephone_number": "423-826-8000",
            "fax_number": "423-826-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAITLYN",
        "middle_name": "BROOKE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012905A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "38161",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KSMITH175@IUHEALTH.ORG",
            "affiliation": "N",
            "address_1": "5165 McCarty Ln",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479058764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.