MARY KATHERINE SMITH FNP-C NPI 1356065718

NPI Information

  • NPI: 1356065718
  • Provider Name: MARY KATHERINE SMITH, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 409 W 10TH ST NE
    ROME, GA
    ZIP 30165
  • Phone: (706) 406-5093

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NPI Details

Mary Katherine Smith, FNP-C is a family nurse practitioner in Rome, GA. Mary Katherine Smith, FNP-C NPI is 1356065718. 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:

409 W 10TH ST NE
ROME, GA
ZIP 30165-640
Phone: (706) 406-5093

The NPI 1356065718 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 9/29/2022 and was last updated on 11/13/2024.

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 PractitionerFamilyRN250856GEORGIAYes
2363L00000XNurse PractitionerRN250856GEORGIANo

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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