DR. LYNETTE S SMITH PHD PMHNP FNP NPI 1336165232

NPI Information

NPI: 1336165232
Provider Name: DR. LYNETTE S SMITH, PHD, PMHNP, FNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: INDY BEHAVIORAL HEALTH LLC

PECOS Registration: Yes

Address:
2642 CHANDLER DR APT 1814
BOWLING GREEN, KY
ZIP 42104
Phone: (812) 021-0222
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DR. Lynette S Smith, PHD, PMHNP, FNP is a psychiatric/mental health nurse practitioner in Bowling Green, KY with 12 years of experience. DR. Lynette S Smith, PHD, PMHNP, FNP NPI is 1336165232. 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:

2642 CHANDLER DR APT 1814
BOWLING GREEN, KY
ZIP 42104-257
Phone: (812) 021-0222

The NPI 1336165232 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 7/14/2006 and was last updated on 1/7/2015.

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
1	363LF0000X	Nurse Practitioner	Family	3007259	KENTUCKY	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	3007259	KENTUCKY	Yes

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
1	P39021	MEDICARE UPIN	INDIANA
2	147180EEE	MEDICARE PIN	INDIANA
3	TB5110	MEDICARE ID-TYPE UNSPECIFIED	INDIANA
4	000000543710	OTHER	INDIANA	ANTHEM PIN
5	200334480A	MEDICAID	INDIANA

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: 11/14/2023

NPI Synchronization or Removal

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