KELLY RAE SMITH (NPI# 1518566371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518566371 |
| Entity Type | Individual |
| Full Name | KELLY RAE SMITH |
| Other Name | KELLY RAE KASPAR |
| Credential | NP |
| Practice Address |
13402 Creekview Rd Prospect KY 40059-9028 |
| Practice Telephone | 5023960237 |
| Practice Fax Number | 5023848670 |
| Mailing Telephone | 5023960237 |
| Mailing Fax Number | 5023848670 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3015261 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877899 | Kelly Smith | Dental Hygienist | 7700 Sw Garden Home Rd Apt 24, Portland, OR 97223-7496 | 2020-07-01 |
| 1346720893 | Kelly Smith | Licensed Vocational Nurse | 512 S Kearny, Clarendon, TX 79226 | 2018-08-15 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1013437870 | Kelly Dennis Smith | Public Health or Welfare | 211 Oakmont Dr, New Orleans, LA 70128-3624 | 2017-06-22 |
| 1164955498 | Kelly Ghislaine Smith | Student in an Organized Health Care Education/Training Program | 171 Old Chester Rd, Essex Fells, NJ 07021-1624 | 2017-04-04 |
| 1588026975 | Kelly Therese Smith | Specialist/Technologist | 344 S Maple Ave #2a, Oak Park, IL 60302 | 2016-03-24 |
| 1790168326 | Kelly Smith | Counselor | 545 Sw 26th St, Oklahoma City, OK 73109-6740 | 2015-07-01 |
| 1518353341 | Kelly Smith | Nurse Practitioner | 2232 Wilborn Ave Ste D, South Boston, VA 24592-1662 | 2015-04-08 |
| 1265830491 | Kelly Sue Smith | Speech-Language Pathologist | 210 Starpine Pl Unit A, Prescott, AZ 86303-7017 | 2014-12-22 |
| 1679979561 | Kelly Smith | Speech-Language Pathologist | 15208 E 39th St S, Independence, MO 64055-4239 | 2014-11-05 |
| Street Address |
13402 CREEKVIEW RD |
| City | PROSPECT |
| State | KY |
| Zip Code | 40059-9028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407414 | Kelly Rae Smith Dnp Aprn LLC | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932744919 | Cheryl L Young | Counselor | 1703 Victory Court, Prospect, KY 40059 | 2019-11-13 |
| 1790276806 | Harrods Creek Vol Fire Dept Inc | Ambulance | 8905 Us Highway 42, Prospect, KY 40059 | 2018-05-24 |
| 1952754475 | Prospect Pharmacy LLC | Pharmacy | 9549-b Us Highway 42, Prospect, KY 40059 | 2016-07-20 |
| 1972959740 | Raina Chandiramani | Dentist | 11838 Lakestone Way, Prospect, KY 40059 | 2016-05-10 |
| 1750629416 | Sanford Simon | Family Medicine | 6805 Hunter Run Place, Prospect, KY 40059 | 2013-01-30 |
| 1568707743 | Zorre Zeno Kimura | Physical Therapist | 10211 Worthington Lane, Prospect, KY 40059 | 2012-11-29 |
| 1487806634 | Jaclyn Engelsher | Acupuncturist | 10605 Meeting Street, Suite 102, Prospect, KY 40059 | 2008-10-21 |
| 1740454289 | Emily J. Baskin | Massage Therapist | 9509 Us Hwy 42, Suite 207, Prospect, KY 40059 | 2008-04-16 |
| 1942304647 | Paul Thomas Lavelle | Dentist | 13104 Us Hwy 42, Prospect, KY 40059 | 2006-09-12 |
| 1710924055 | Nasir Gardezi | Internal Medicine | 9500 Hayden Creek Court, Prospect, KY 40059 | 2006-06-02 |
| Find all providers in zip 40059 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629537410 | Douglas Peter Ead | Nurse Practitioner | 6498 Prospect Rd, Prospect, TN 38477-6384 | 2019-03-19 |
| 1063995025 | Carrie Ann Himmelsbach | Nurse Practitioner | 8031 Westover Dr, Prospect, KY 40059-9434 | 2018-09-14 |
| 1821549585 | Kellie Sheehy | Nurse Practitioner | 9503 Norton Commons Blvd, Prospect, KY 40059-7522 | 2016-10-18 |
| 1548627458 | Lindsey Haukom | Nurse Practitioner | 10914 Kings Crown Dr, Prospect, KY 40059-6591 | 2016-01-22 |
| 1568858405 | Joyce Anderson | Nurse Practitioner | 2046 Alf Harris Rd, Prospect, TN 38477-6307 | 2015-04-07 |
| 1548661754 | Elizabeth Palchick | Nurse Practitioner | 11 Radio Tower Rd, Prospect, CT 06712-1837 | 2014-09-07 |
| 1891030219 | Diane Frye Riff | Nurse Practitioner | 3406 River Bluff Rd, Prospect, KY 40059-9011 | 2012-12-11 |
| 1841574688 | Carlee Lehna | Nurse Practitioner | 7009 Ridge Run Cir, Prospect, KY 40059-9215 | 2011-09-28 |
| 1902407414 | Kelly Rae Smith Dnp Aprn LLC | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-11-03 |
| 1720691470 | Allyson Riggs | Nurse Practitioner | 9537 Us Highway 42, Prospect, KY 40059-9301 | 2020-08-24 |
| Find all providers in PROSPECT | ||||
Please comment or provide details below to improve the information on KELLY RAE SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.