Kinyata Smith, MPA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4348 S Jeffrey Dr Ste 101&102
Baton Rouge, LA 70816

Phone

(225) 361-0219

NPI assigned

May 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1629568498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 S JEFFREY DR STE 101&102",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 S JEFFREY DR STE 101&102",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70816",
            "telephone_number": "225-361-0219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 New Rafe Meyer Rd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708071163",
            "country_code": "US",
            "telephone_number": "318-730-7631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KINYATA",
        "credential": "MPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR HEALTH CARE",
            "identifier": "1205228335",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kedra Latrice Smith
• Kelli H. Smith, M.ED, LPC-S
• Kenneth G Smith, MD
• Keosha Tashae Smith
• Kimberly Y Smith
• Kristen C Smith, LMSW
• Kristin Annaloro Smith, PA
• Laiya Smith, LPN
• Laketa Smith
• Lasette B Smith

• Case Manager/Care Coordinator in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.