Kimberly Ann Smetzer, LLCP

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

55597 Issued in NM

Practice address

4401 East Lohman
Building 5
Las Cruces, NM 88011

Phone

(575) 556-5693

NPI assigned

Dec 19, 2019

Last updated

Dec 19, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Little Steps Pediatrics LLC

  • Pediatric Nurse Practitioner
  • Las Cruces, NM
  • NPI 1124642772
  NPD (past)

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1649818725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4388 ISLETA CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114297",
            "telephone_number": "321-298-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 EAST LOHMAN",
            "address_2": "BUILDING 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-556-5693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 East Lohman",
            "address_2": "Building 5",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "88011",
            "country_code": "US",
            "telephone_number": "321-298-3153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMETZER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "LLCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NM",
            "license": "55597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SM Gantz OT Services (Shadow Rock Care Services)
• Maureen Smallidge, R.D.
• Smart Care, Inc.
• Smartmed Billing Solutions, LLC (Crystal Health and Wellness)
• Tammy D Smelker, RN/BSN
• Smileverse Dental
• Hylas Emmett Smiley, MD
• Amani Smith
• Andrea Paige Smith
• Briana Smith, CNP

• Lactation Consultant (Registered Nurse) in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Lactation Consultant (Registered Nurse) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.