Individual provider Active NPI

Kayla Smith, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1922611854
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904213 Issued in MS
Practice address
7865 Educators LN Ste 300
Memphis, TN 38133-8191
Phone
(901) 384-9920
NPI assigned
Aug 29, 2020
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904213 MS Primary

Addresses

Primary practice location

7865 Educators LN Ste 300
Memphis, TN 38133-8191

Mailing address

7865 Educators LN Ste 300
Memphis, TN 38133-8191
Phone (901) 384-9920

Other practice location 1

2900 Kirby Rd Ste 5
Memphis, TN 38119-8205
Phone (901) 369-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201207002601 TN Practitioner - Nurse Practitioner 3870905300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memphis Multi Specialty Associates,LLCGroup PAC ID 5395052443, 4 clinicians

Practice addresses (Care Compare)

3960 Knight Arnold Rd
Suite 108
Memphis, TN 38118-3001
Phone (901) 369-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
904213MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lunceford Family Health Center P.C. CurrentSince Oct 26, 2020 Accepting new patients
Memphis Multi Specialty Associates,LLC CurrentSince Oct 26, 2020 Accepting new patients

Locations

2900 Kirby Rd
Ste 5
Memphis, TN 38119
Phone (901) 309-8898

3960 Knight Arnold Rd
Ste 108
Memphis, TN 38118
Phone (901) 369-6000

7865 Educators Ln
Ste 110
Memphis, TN 38133
Phone (901) 384-9920

7865 Educators Ln
Ste 300
Memphis, TN 38133
Phone (901) 384-9920

Interoperability endpoints

  • Direct secure messaging: kayla.smith.p1@direct.luncefordfamily.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1598659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1922611854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7865 EDUCATORS LN STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381338191",
            "telephone_number": "901-384-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7865 EDUCATORS LN STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381338191",
            "telephone_number": "901-384-9920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Kirby Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381198205",
            "country_code": "US",
            "telephone_number": "901-369-6000",
            "fax_number": "901-369-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAYLA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-29",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.