Kimberly A Smith, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

243721 Issued in KY

Practice address

954 E Main St
Chillicothe, OH 45601-2844

Phone

(740) 779-6023

Fax

(513) 332-9072

NPI assigned

Apr 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• H William Mattingly Corporation

  • Hearing Aid Equipment
  • Huntington, WV
  • NPI 1114081338

  Hearing Instrument Specialist

  NPD (past)

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1831651298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012104",
            "telephone_number": "304-521-4365",
            "fax_number": "513-332-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 E MAIN ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012844",
            "telephone_number": "740-779-6023",
            "fax_number": "513-332-9072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "952 Commercial Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404753402",
            "country_code": "US",
            "telephone_number": "859-624-5830",
            "fax_number": "513-332-9072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WV",
            "license": "1046",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KY",
            "license": "243721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0597224",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerri Deanna Smith, RN
• Jessica Mae Smith, L.P.N.
• Justine Smith, PHARMD, BCPP
• Kaye Smith
• Kimberly A Smith, LPCC-S
• Laura Smith, RD, LD
• Laura M. Boerner Smith, PH.D.
• Lauren Michelle Smith, LPN
• Mark Leonard Smith, O.D.
• Mekhia Unique Smith

• Hearing Instrument Specialist in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Hearing Instrument Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.