Individual provider Active NPI

Katelyn Elizabeth Kreke Smith, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1740833144
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.025183 Issued in OH
Practice address
680 Northland Blvd
Cincinnati, OH 45240-3248
Phone
(513) 941-4999
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.025183 OH Primary

Addresses

Primary practice location

680 Northland Blvd
Cincinnati, OH 45240-3248

Mailing address

300 High St FL 4
Hamilton, OH 45011-6078
Phone (513) 454-1460

Other practice location 1

1036 S Verity Pkwy
Middletown, OH 45044-5513
Phone (513) 454-1111

Other practice location 2

4995 Bradenton Ave Ste 130
Dublin, OH 43017-3551
Phone (614) 580-6917

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address katelyn.kreke.p5@direct.phs.nextgenshare.com
Other URL Email

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200116000728 OH Practitioner - Nurse Practitioner 5890120083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Concord Psychiatry, LLCGroup PAC ID 3577884105, 37 clinicians

Practice addresses (Care Compare)

4995 Bradenton Ave
Suite 130
Dublin, OH 43017-3551
Phone (614) 580-6917

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025183OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oh Independent Medical Group LLC Past Accepting new patients
Butler County Community Health Consortium, Inc. PastSince Oct 10, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1740833144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HIGH ST FL 4",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450116078",
            "telephone_number": "513-454-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 NORTHLAND BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452403248",
            "telephone_number": "513-941-4999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1036 S Verity Pkwy",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450445513",
            "country_code": "US",
            "telephone_number": "513-454-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4995 Bradenton Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430173551",
            "country_code": "US",
            "telephone_number": "614-580-6917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATELYN",
        "middle_name": "ELIZABETH KREKE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.025183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katelyn.kreke.p5@direct.phs.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1036 S Verity Pkwy",
            "city": "Middletown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450445513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Email",
            "affiliation": "N",
            "address_1": "1036 S Verity Pkwy",
            "city": "Middletown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450445513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.