Individual provider Active NPI

Tamara Kristin Smith, ARNP

  • Clinical Nurse Specialist
  • Andover, KS
National Provider Identifier
1699723064
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
74387 Issued in KS
Practice address
142 Lioba Dr
Andover, KS 67002-9763
Phone
(316) 733-4209
Fax
(316) 733-4209
NPI assigned
May 5, 2006
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 74387 KS
Clinical Nurse Specialist 364S00000X 74387 KS Primary

Addresses

Primary practice location

142 Lioba Dr
Andover, KS 67002-9763

Mailing address

142 Lioba Dr
Andover, KS 67002-9763
Phone (316) 733-4209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 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

Enrollment IDStateProvider typePAC IDDetails
I20050620000508 KS Practitioner - Nurse Practitioner 7911941083 Reassigns benefits to 1 organization
I20251013001258 KS Practitioner - Certified Clinical Nurse Specialist (CNS) 7911941083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health America of South Central Kansas, Inc.Group PAC ID 1153400197, 13 clinicians

Practice addresses (Care Compare)

9415 E Harry St
Suite 800
Wichita, KS 67207-5084
Phone (316) 652-2590

Merit-based Incentive Payment System (MIPS)

Final score
56.65 of 100Reported as group
Quality
0
Improvement activities
40
Cost
72.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
74387KSMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tamara Kristin Smith Aprn LLC Psychiatric/Mental Health CurrentSince Aug 21, 2025 Accepting new patients
Mental Health America of South Central Kansas, Inc. CurrentSince Feb 1, 2024 Accepting new patients

Locations

555 N Woodlawn St
Ste 3105
Wichita, KS 67208
Phone (316) 651-1201

9415 E Harry St
Ste 800
Wichita, KS 67207
Phone (316) 652-2590

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1699723064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 LIOBA DR",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029763",
            "telephone_number": "316-733-4209",
            "fax_number": "316-733-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 LIOBA DR",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029763",
            "telephone_number": "316-733-4209",
            "fax_number": "316-733-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TAMARA",
        "middle_name": "KRISTIN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "74387",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "KS",
            "license": "74387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

Verify at the official NPI Registry.