Kimberly Diane Smith, ACUPUNCTURIST

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

11619 Issued in CA

Practice address

11110 Ohio Ave Ste 105
Los Angeles, CA 90025-6345

Phone

(310) 862-9269

NPI assigned

Feb 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• K.D. Smith Professional name

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": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1891296901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 PICO BLVD APT 4",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051629",
            "telephone_number": "310-862-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 OHIO AVE STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256345",
            "telephone_number": "310-862-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "DIANE",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "11619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "K.D.",
            "last_name": "SMITH",
            "credential": "ACUPUNCTURIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Keith Smith, BA
• Kelli Lee Smith, OTR/L
• Kelly Irion Smith
• Kendal Smith
• Kimberlee Joscelyn Smith, MFTI
• Kristel Smith
• Kristen Smith, LCSW
• Kristine Elena Smith
• Kyle P. Smith, M.D.
• Kylie Kathleen Smith, PA-C

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.