Active NPI
Elaine Marie Smith, A.P.R.N.
- Family Nurse Practitioner
- La Grange, KY
National Provider Identifier
1699026856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3007703
- Practice address
- 3001 W Highway 146
La Grange, KY 40032-0001 - Phone
- (502) 222-9441
- Fax
- (502) 222-7760
- NPI assigned
- Sep 27, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1072757 | KY | |
| Family Nurse Practitioner | 363LF0000X | 3007703 | KY | Primary |
Addresses
Primary practice location
3001 W Highway 146
La Grange, KY 40032-0001
Mailing address
3001 W Highway 146
La Grange, KY 40032-0001
Phone (502) 222-9441
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1072757 | KY | MD | Registered Nurse |
| 3007703 | KY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1699026856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 W HIGHWAY 146",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "400320001",
"telephone_number": "502-222-9441",
"fax_number": "502-222-7760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 W HIGHWAY 146",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "400320001",
"telephone_number": "502-222-9441",
"fax_number": "502-222-7760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ELAINE",
"middle_name": "MARIE",
"credential": "A.P.R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-27",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1072757",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3007703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Grange, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.