Carol Lois Smith, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

KS0420364 Issued in KS

Practice address

8600 W 110 Street
Suite 214
Overland Park, KS 66210-1805

Phone

(913) 339-9700

Fax

(913) 339-6336

NPI assigned

Nov 1, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1679650873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 W 110 STREET",
            "address_2": "SUITE 214",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101805",
            "telephone_number": "913-339-9700",
            "fax_number": "913-339-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 W 110 STREET",
            "address_2": "SUITE 214",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101805",
            "telephone_number": "913-339-9700",
            "fax_number": "913-339-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAROL",
        "middle_name": "LOIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "KS0420364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "11438033",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2050518601",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Lyn Smith, PHARM.D., MBA
• Bradley N Smith, DDS
• Brandie Latisse Smith, DNP, APRN, WHNP-BC
• Brooke Smith
• Candice Rene Smith, PTA
• Cody Smith, PHARMD
• Danielle V Smith
• David M Smith, M.D.
• Emily Anne Smith
• Guerin M Smith, M.D.

• Psychiatry Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.