Kimberly A Smith, REGISTERED NURSE

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

69408 Issued in ID

Practice address

10811 W 6TH Ave
Airway Heights, WA 99001-5345

Phone

(509) 481-4990

NPI assigned

Aug 7, 2026

Last updated

Oct 1, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kalispel Tribe of Indians

  dba Camas Health Recovery Center, a Kalispel Tribal Economic Authority enterprise

  • Primary Care Clinic/Center
  • Airway Heights, WA
  • NPI 1144118803
  NPD (past)
• Kalispel Tribe of Indians

  dba Camas Health Recovery Center, a Kalispel Tribal Economic Authority enterprise

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Airway Heights, WA
  • NPI 1154197614
  NPD (past)

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

{
    "created_epoch": "1786060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1871417162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6275 E FRENCH GULCH RD",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838147755",
            "telephone_number": "541-921-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10811 W 6TH AVE",
            "city": "AIRWAY HEIGHTS",
            "state": "WA",
            "postal_code": "990015345",
            "telephone_number": "509-481-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "3081734",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "ID",
            "license": "69408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole J Scott, CDPT
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• Selkirk Dental Anesthesia PLLC
• Marina V Shustov, LMT
• Angela Silva, CDP
• Loretta Marie Stricker, CMA, CNA,
• Leslie Dawn Susso
• Mikayla May Vergo
• Villain Esteem
• Matthew Vinson, DPT

• Licensed Practical Nurse in Airway Heights, WA
• Providers in Airway Heights, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.