Kimberly Ann Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

28157085A Issued in IN

Practice address

3564 Scottsdale St
Portage, IN 46368-5420

Phone

(219) 763-8112

Fax

(219) 764-5384

NPI assigned

Feb 3, 2009

Last updated

Feb 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1801034582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 N GRIFFITH BLVD",
            "city": "GRIFFITH",
            "state": "IN",
            "postal_code": "463191543",
            "telephone_number": "219-763-8112",
            "fax_number": "219-764-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3564 SCOTTSDALE ST",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685420",
            "telephone_number": "219-763-8112",
            "fax_number": "219-764-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28157085A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Slamkowski, LPT
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• Philip Sloboda
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• Angelica Smith, PSYD
• Amy Lorraine Sobas, N.P.
• Tarah Doreen Soon-Walker, PT
• Cristina M Soyao, LPT
• Saniya Spadling
• Stacey Spence

• Registered Nurse in Portage, IN
• Providers in Portage, IN by specialty
• Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.