Active NPI
Erin Elizabeth Smith, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Louisville, KY
National Provider Identifier
1649779752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 53-79788-021
- Practice address
- 540 Baxter Ave
Louisville, KY 40204-1154 - Phone
- (502) 694-9488
- Fax
- (502) 785-4201
- NPI assigned
- Feb 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1146499 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2020037586 | MO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 53-79788-021 | KS | Primary |
Addresses
Primary practice location
540 Baxter Ave
Louisville, KY 40204-1154
Mailing address
11505 W 152ND St
Overland Park, KS 66221-7232
Phone (785) 452-8032
Other practice location 1
8300 College Blvd
Overland Park, KS 66210-1913
Phone (913) 945-1277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-79788-021 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1146499 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
| 2020037586 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibson Community Hospital Association | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1649779752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11505 W 152ND ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662217232",
"telephone_number": "785-452-8032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 BAXTER AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402041154",
"telephone_number": "502-694-9488",
"fax_number": "502-785-4201"
}
],
"practiceLocations": [
{
"address_1": "8300 College Blvd",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662101913",
"country_code": "US",
"telephone_number": "913-945-1277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "ERIN",
"middle_name": "ELIZABETH",
"credential": "APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-04",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "1146499",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2020037586",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "53-79788-021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.