Katheryn M Smith, APRN, PMHNP, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2022035162 Issued in MO

Practice address

105C W Wall St
Harrisonville, MO 64701-2355

Phone

(870) 970-3180

Fax

(870) 343-6262

NPI assigned

Jun 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO, AR2 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

Specialty

Nurse Practitioner

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Selah HealthGroup PAC ID 5395130546, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Selah Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Piggott, AR
  • NPI 1720734247

  MO

  Medicare reassignment Care Compare group
• Compass Health, Inc

  • Community/Behavioral Health Agency
  • Clinton, MO
  • NPI 1285619494
  Medicare reassignment NPD
• Healing Grace Ministries, Inc

  • Professional Counselor
  • Lees Summit, MO
  • NPI 1346417706
  Medicare reassignment
• Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rolla, MO
  • NPI 1558258632
  NPD
• Saint Luke'S Neighborhood Clinics, LLC

  • Diagnostic Radiology Physician
  • Overland Park, KS
  • NPI 1346783008
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1659377752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724540301",
            "telephone_number": "870-970-3180",
            "fax_number": "870-343-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105C W WALL ST",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647012355",
            "telephone_number": "870-970-3180",
            "fax_number": "870-343-6262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 S Thornton Ave",
            "address_purpose": "LOCATION",
            "city": "Piggott",
            "state": "AR",
            "postal_code": "724542731",
            "country_code": "US",
            "telephone_number": "870-970-3180",
            "fax_number": "870-343-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHERYN",
        "middle_name": "M",
        "credential": "APRN,  PMHNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "129159",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2022035162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420017303",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sightrite Medical Mo LLC
• Brett Aaron Simon, DPT
• Shera Ann Sims, D.D.S
• Smith Chiropractic Pain Center PC
• Jacob Robert Smith
• Mallory Dianne Smith, LMSW
• Tyrone P. Smith Sr., D.C.
• Snider & Associates Optometry, PC
• Larry D Snider, O.D.
• Kristy Spriggs, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Harrisonville, MO
• Providers in Harrisonville, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.