Kelly M Smith, B.S., C.B.I.S. EXP

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

1018 Issued in MI

Practice address

2880 Renfrew St.
Ann Arbor, MI 48105-1454

Phone

(734) 649-6749

NPI assigned

Mar 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

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.

• Lifeskills Reintegration, LLC

  • Rehabilitation Practitioner
  • Ann Arbor, MI
  • NPI 1093089914
  NPD (past) Authorized official

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1780958769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11415 LAUDERDALE CT",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481699535",
            "telephone_number": "734-878-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 RENFREW ST.",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051454",
            "telephone_number": "734-649-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "B.S., C.B.I.S. EXP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "VA",
            "license": "1018",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "MI",
            "license": "1018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Smith, LMSW
• Jessica Marie Smith, OTRL
• Joanna Smith
• Karen A Smith, MSW
• Katherine Smith
• Kristen Ann Smith, MD
• Kurtis Michael Smith, PSY.D. CLINICAL PSYC
• Laura Sinclair Smith, MSW,LMSW
• Lauren Barrett Smith, M.D.
• Logan Wheeler Smith, PT, DPT

• Rehabilitation Practitioner in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Rehabilitation Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.