Kaye Marie Smith, FNP
Individual provider Active NPI Family Nurse Practitioner · Logan, UT
NPI 1922491430 · NPPES record last updated Mar 7, 2015
Key facts
- NPI
- 1922491430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 7654915-4405 (UT)
- Practice address
- 1300 N 500 E
Logan, UT 84341-2408 - Phone
- (435) 716-5900
- NPI assigned
- Mar 7, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
1400 N 500
Logan, UT 84341-2455
Phone (435) 716-1000
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
Hospital & facility affiliations
- Intermountain Health Logan Regional Hospital
- Nell J Redfield Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150602000676 | UT | Practitioner - Nurse Practitioner | 1153642285 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7654915-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wholelife Family Wellness Clinic of Providence PLLC | Family | Current |
Accepting new patients |
| Ihc Health Services, Inc. | Family Medicine | Current |
Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current |
Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1300 N 500 E
Logan, UT 84341
Phone (435) 716-2880
1400 N 500 E
North Logan, UT 84341
Phone (435) 716-1000
200 N Gateway Dr
#B
Providence, UT 84332
Phone (435) 213-3597
190 S Highway 165
Providence, UT 84332
Phone (435) 755-3300
560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600
935 N 1000 W
Tremonton, UT 84337
Phone (435) 207-4800
Interoperability endpoints
- kaye.smith@230919546077188.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7654915-4405 | UT | Yes |
Addresses
Primary practice location
1300 N 500 E
Logan, UT 84341-2408
Mailing address
1300 N 500 E
Logan, UT 84341-2408
Phone (435) 716-5900
Other providers in Logan, UT
- Angela Knowles Smith
- B Renee Smith
- Carla Knighton Smith
- Douglas F Smith
- Heather Diane Smith
- Marvin Smith
- Paige Eden Smith
- Trevor Reed Smith
- Smiths Food & Drug Centers Inc
- Smiths Food & Drug Centers Inc
All providers in Logan, UT · Family Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.