Kelli Smith, APRN-BC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

164669 Issued in MA

Practice address

43 Brookfield Cir
Framingham, MA 01701-4036

Phone

(508) 405-1808

NPI assigned

Dec 17, 2007

Last updated

Aug 13, 2020By the provider in NPPES

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

Enrolled in MA, NH3 enrollments

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 3

Specialty

Nurse Practitioner

Education

University of Massachusetts Medical School, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crt.kellicossaboom@131709.advancedmd-direct.com

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.

• Kelli Smith Pmhnp-BC LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Framingham, MA
  • NPI 1215652854

  NH

  Medicare reassignment NPD Authorized official
• Child & Family Services, Inc.

  • Mental Health Counselor
  • New Bedford, MA
  • NPI 1205813540
  Medicare reassignment NPD
• Newton Square Health Center, PC

  • Mental Health Counselor
  • Worcester, MA
  • NPI 1255425815
  Medicare reassignment NPD
• Northeast Behavioral Health Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beverly, MA
  • NPI 1154302586
  NPD (past)
• South Bay Mental Health Center, Inc.

  dba South Bay Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1023096864
  NPD (past)
• The Carson Center

  • Public Health or Welfare Agency
  • Westfield, MA
  • NPI 1215975842
  NPD (past)

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1932382637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BROOKFIELD CIR",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014036",
            "telephone_number": "508-405-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BROOKFIELD CIR",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014036",
            "telephone_number": "508-405-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLI",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "164669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleigh Ann Smith
• Heather C Smith, LMT
• Jamie Smith
• Jeffrey Avery Smith, D.C.
• Jessica N Smith
• Lisa Elaine Smith, M.S. R.D. LDN
• Marsha Smith
• Nechama Smith
• Perry Smizer
• Smoc

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Framingham, MA
• Providers in Framingham, MA by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.