Kelly Rae Smith DNP Aprn LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

KELLY RAE SMITH DNP APRN LLC

Practice address

13402 Creekview Rd
Prospect, KY 40059-9028

Phone

(502) 396-0237

Fax

(833) 449-5152

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Kelly Rae Graham, NP

Title

NP/Owner

Phone

(502) 396-0237

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kelly Rae Smith Other name

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: kelly.smith.1@29428.direct.athenahealth.com

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1902407414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37270",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151214",
            "telephone_number": "502-396-0237",
            "fax_number": "833-449-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 CREEKVIEW RD",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599028",
            "telephone_number": "502-396-0237",
            "fax_number": "833-449-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY RAE SMITH DNP APRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "502-396-0237",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100951070",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly.smith.1@29428.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "13402 Creekview Rd",
            "city": "Prospect",
            "state": "KY",
            "country_code": "US",
            "postal_code": "400599028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kelly Rae Smith",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Nurse Practitioner in Prospect, KY
• Providers in Prospect, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.