Individual provider Active NPI

Kim Robinson-Smith RN, REGISTERED NURSE BSN

  • Case Management Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1831711365
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
321589 Issued in NY
Practice address
66 Boerum PL
Brooklyn, NY 11201-5705
Phone
(718) 422-2250
Fax
(718) 422-2495
NPI assigned
May 6, 2020
Last updated
May 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 321589 NY Primary

Addresses

Primary practice location

66 Boerum PL
Brooklyn, NY 11201-5705

Mailing address

66 Boerum PL
Brooklyn, NY 11201-5705
Phone (347) 756-2280

Other names 1

  • Kim Smith Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1831711365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BOERUM PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015705",
            "telephone_number": "347-756-2280",
            "fax_number": "718-422-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BOERUM PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015705",
            "telephone_number": "718-422-2250",
            "fax_number": "718-422-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON-SMITH RN",
        "first_name": "KIM",
        "credential": "REGISTERED NURSE BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "321589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "SMITH",
            "credential": "RN BSN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.