Kaci Smith, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0060595 Issued in OK

Practice address

1217 W Gary Blvd
Clinton, OK 73601-2727

Phone

(580) 383-7608

Fax

(580) 547-4076

NPI assigned

Aug 13, 2015

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

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": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1922474923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 W GARY BLVD",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736012727",
            "telephone_number": "580-383-7608",
            "fax_number": "580-547-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 W GARY BLVD",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736012727",
            "telephone_number": "580-383-7608",
            "fax_number": "580-547-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KACI",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "0060595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Bryan Simpson
• Bridgett Sue Sims, LPC
• Sinor Emergency Medical Service, Inc
• Cynthia Danielle Skelly, M.D.
• Barbara Sue Smith, M.ED
• Memory Smith
• Monti Jo Smith
• Miranda Alberta Irene Smoot, APRN
• Southwest Counseling Services
• Southwest Okla Counseling, Inc

• Licensed Practical Nurse in Clinton, OK
• Providers in Clinton, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.