Kimberly Dawn Smeall, BA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MG60288353 Issued in WA

Practice address

3318 Bridgeport Way W # D3
University Place, WA 98466-4598

Phone

(253) 564-4450

NPI assigned

Jan 13, 2011

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 names 1

• Miss Kimberly Dawn Krippaehne Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1861797318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 BRIDGEPORT WAY W # D3",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664598",
            "telephone_number": "253-564-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 BRIDGEPORT WAY W # D3",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664598",
            "telephone_number": "253-564-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEALL",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60288353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KRIPPAEHNE",
            "middle_name": "DAWN",
            "prefix": "MISS",
            "credential": "MA, LMFTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Simpson
• Kimberly Lynn Singh, M.A.,L.M.H.C.
• Tanushree Singhal, M.D.
• Jacqueline A. Sizer, LMP
• Fransje Jereontje Slothouber Giles, DNP, NP-C
• Gretchen Smith, MSW
• Kelli Smith
• Kenneth Ray Smith Jr.
• Peggy Ann Smith, ARNP
• Rashanna Smith, LMP

• Marriage & Family Therapist in University Place, WA
• Providers in University Place, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.