KENYA DENETTE SMITH NPI 1285056911

NPI Information

  • NPI: 1285056911
  • Provider Name: KENYA DENETTE SMITH
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5000 VAN NUYS BLVD STE 305
    SHERMAN OAKS, CA
    ZIP 91403
  • Phone: (818) 480-6456

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NPI Details

Kenya Denette Smith is a psychiatric/mental health nurse practitioner in Sherman Oaks, CA. Kenya Denette Smith NPI is 1285056911. 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:

5000 VAN NUYS BLVD STE 305
SHERMAN OAKS, CA
ZIP 91403-717
Phone: (818) 480-6456
Fax: (818) 205-1924

The NPI 1285056911 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/15/2014 and was last updated on 4/8/2014.

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
1163W00000XRegistered Nurse578715CALIFORNIANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health95000220CALIFORNIAYes

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: 11/21/2025

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