Active NPI
Kavena Smith, RN
- Licensed Practical Nurse
- Southfield, MI
National Provider Identifier
1700260874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 4703110457
- Practice address
- 28493 Franklin Rd Apt 224
Southfield, MI 48034-1617 - Phone
- (248) 513-1868
- NPI assigned
- Jul 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703110457 | MI | Primary |
Addresses
Primary practice location
28493 Franklin Rd Apt 224
Southfield, MI 48034-1617
Mailing address
22189 Vinewood Blvd
Taylor, MI 48180-6353
Phone (248) 767-6637
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703110457 | MI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1700260874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22189 VINEWOOD BLVD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481806353",
"telephone_number": "248-767-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28493 FRANKLIN RD APT 224",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341617",
"telephone_number": "248-513-1868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KAVENA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-17",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "4703110457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.