Kelli Smith

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN61403646 Issued in WA

Practice address

2901 Bridgeport Way
University Place, WA 98466

Phone

(253) 534-7000

NPI assigned

Mar 14, 2025

Last updated

Mar 14, 2025By 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

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1659171098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 BRIDGEPORT WAY",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "98466",
            "telephone_number": "253-534-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3585 E E St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984042133",
            "country_code": "US",
            "telephone_number": "480-216-7638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WA",
            "license": "RN61403646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanushree Singhal, M.D.
• Jacqueline A. Sizer, LMP
• Fransje Jereontje Slothouber Giles, DNP, NP-C
• Kimberly Dawn Smeall, BA
• Gretchen Smith, MSW
• Kenneth Ray Smith Jr.
• Peggy Ann Smith, ARNP
• Rashanna Smith, LMP
• Carmilla Solomon, EDD LMHC
• James Neak Son, DDS

• Home Health Registered Nurse in University Place, WA
• Providers in University Place, WA by specialty
• Home Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.