Kimberly Smith, NNP
Nurse Practitioner, Neonatal in Rochester, NY. Individual provider (NPI-1).
NPI number1043589849
StatusActive
Last updated in NPPESApr 22, 2025
Details
- NPI
- 1043589849
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Smith
- Credential
- NNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 22, 2011
- Certification date
- Apr 22, 2025
- Last updated
- Apr 22, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LN0000X | Nurse Practitioner, Neonatal | 350346 | NY | Yes |
| 163WN0002X | Registered Nurse, Neonatal Intensive Care | 571761 | NY |
Practice location
601 Elmwood AveRochester, NY 14642-1629
Phone 585-275-2267
Mailing address
601 Elmwood AveRochester, NY 14642-0002
Phone 585-275-7520
Other practice locations
1 Guthrie Sq
Sayre, PA 18840-1625
Sayre, PA 18840-1625
Phone 570-888-6666
1000 South Ave
Rochester, NY 14620-2782
Rochester, NY 14620-2782
Phone 585-473-2200
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 15 Neonatal Nurse Practitioner providers in Rochester · All 22,972 providers in Rochester
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