KIMBERLEY HARRIS SMITH FNP-BC NPI 1134314198

NPI Information

  • NPI: 1134314198
  • Provider Name: KIMBERLEY HARRIS SMITH, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2255 S BURNSIDE AVE
    GONZALES, LA
    ZIP 70737
  • Phone: (800) 256-3947

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NPI Details

Kimberley Harris Smith, FNP-BC is a family nurse practitioner in Gonzales, LA. Kimberley Harris Smith, FNP-BC NPI is 1134314198. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2255 S BURNSIDE AVE
GONZALES, LA
ZIP 70737-642
Phone: (800) 256-3947
Fax: (225) 250-1026

The enumeration date for this NPI number is 9/12/2007 and was last updated on 5/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAP05502LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11018937MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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