Kyle Smith

Primary specialty

DriverTaxonomy code 172A00000X

License

128761374 Issued in VA

Practice address

1448 Oliver Ave
Chesapeake, VA 23324-3369

Phone

(757) 339-4300

NPI assigned

Apr 27, 2024

Sex

Male

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

State licenses

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

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1811743081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 OLIVER AVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233243369",
            "telephone_number": "757-339-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 OLIVER AVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233243369",
            "telephone_number": "757-339-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "VA",
            "license": "128761374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Abbey Smith, MSN, FNP-BC
• Erin Norah Lutumba Smith, LMFT
• Gwonda Smith
• Jessica Ryan Smith
• Judy M Smith, PHARMD
• Lynda Meryl Smith
• Marcella Yuvonne Smith, SPEECH PATHOLOGIST
• Maren Smith
• Margo B Smith, NP
• Michael Patrick Smith, C.P.O.

• Driver in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Driver in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; 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.